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Board and Commission Application
Board or Commission you wish to serve on: _____________________________ (Planning Commission applicants: Please attach supplemental questionnaire) Submit application to:
Office of the City Clerk
3300 Capitol Avenue, Building A
P.O. Box 5006
Fremont, CA 94537-5006
Personal Information:
Mr.
Mrs.
Ms.
Name: ______________________________________________________________________ Last First MI
Home Address: ____ _ ___
Street City State Zip
Home Telephone: __ _________ Work Telephone:
_______________________
E-mail: _____ __________________ Fax:___________________________ Resident of the City of Fremont: ____________ years
Demographic Information:
Ethnicity:
□ American Indian or Alaskan Native □ Chinese
□ Black or African American □ White
□ Afghan □ Vietnamese
□ Mexican □ Filipino
□ Indian □ Pakistani
□ Other Asian origin: ________________ (write-in optional) □ Other African origin: _______________ (write-in optional) □ Other Hispanic, Latino, or Spanish origin: __________ (write-in optional) Human Relations Commission
X
Craig Benjamin Jonathan
23 X
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Gender:
□ Male □ Prefer to self-identify
□ Female □ Prefer not to say
Language(s) Spoken: _____________________
Background Information:
Why do you wish to serve as a member of this Board or Commission: ____________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ What would you bring by way of perspective or experience to this Board or Commission: _____ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Employment/Volunteer Information:
Please list any qualifications you feel would provide positive input to the work of the commission.
Organization: _______________________________________ Dates: ____________________ Location: ________________________________ Position(s): __________________________ Responsibilities/accomplishments: ________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Organization: _______________________________________ Dates: ____________________ Location: ________________________________ Position(s): __________________________ I was born in Switzerland, grew up in Pakistan, and moved here when I was 18. I have experienced different cultures, and understand different perspectives from these experiences.
Jemby Electric Inc. 08/2011
Fremont. Owner/Founder Started the company and have grown it over 12 years to serve many clients in the area.
Tri City Electric. 10/1999-12/2011 Fremont Foreman Electrician X
English, German, Some Dari, Some
Pushtu, Some Urdu
I would love to serve on a commission that is looking out for everyone in the community. -3-
Responsibilities/accomplishments: ________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Organization: _______________________________________ Dates: ____________________ Location: ________________________________ Position(s): __________________________ Responsibilities/accomplishments: ________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Organization: _______________________________________ Dates: ____________________ Location: ________________________________ Position(s): __________________________ Responsibilities/accomplishments: ________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Community Activities that you have been involved with (feel free to attach separate pages):
____________________________________________________________________________ Name of Organization Position/Responsibilities/Accomplishments Dates ____________________________________________________________________________ ____________________________________________________________________________ Name of Organization Position/Responsibilities/Accomplishments Dates ____________________________________________________________________________ Special awards or recognitions you have received: ________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Estimating/Design/Leading Installations
Fremont Community Church. Elder. 01/2012-12/2021
Lead the board through updating purpose, vision, mission, core values, and strategic focus. Then helped
In the search for a new lead minister.
Economic Development Commission. Commissioner, Chair or one year. 01/2018-current -4-
Education Information:
____________________________________________________________________________ Educational Institution Degree/Diploma Field Year
____________________________________________________________________________ Educational Institution Degree/Diploma Field Year
Additional Information (Please provide any other information which you feel would be useful to the City Council in reviewing your application.)
____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Civic service is a privilege and responsibility of interested, qualified, sincere citizens. The value and importance of wide participation of a large number of citizens cannot be measured. Your interest in serving on a board or commission of the City of Fremont is greatly appreciated.
General Information: Your application is a public document and will be kept on file for one year.
If you would like additional information, please call the City Clerk’s Office, at (510) 2844060.
Please sign and date your application and submit to the Office of the City Clerk.
Thank you.
__________________________________________ _____________________________ Signature Date
Online College. AA Business. 2002 CSU Hayward. BA Political Science. 2004 I love this city and would be honored to serve on the Human Relations Commission.
Begin J Gay 01 25 2023