Application for Appointment to a Citizen
Commission, Board, Committee, or Task Force
Acknowledgement
• Applicants must be U.S. citizens, and residents and electors of the City of Huntington Beach during the appointment process and term, and may not hold more than one membership at a time. • Pursuant to the Municipal Code Chapter 2.100, no members of boards or commissions shall hold any paid office or employment in the City personnel system.
• All Council appointed commission, board, and committee members are required to take two hours of AB1234 public service ethics training and AB1661 harassment prevention training every two years and thereafter. • All Council appointed commission, board, and committee members must comply with the City's Huntington Beach Code of Ethics Policy, Social Media Policy for Elected and Appointed Officials (AR 509), Equal Employment Opportunity Policy (AR 921), Anti-Harassment, Discrimination, and Retaliation Policy (AR 922), Violence in the Workplace Policy (AR 923), and A Respectful Workplace Policy (AR 924).
• You are applying for a public position. As such, the information provided in your application becomes a public record once the appointment process is completed, and may be subject to public inspection pursuant to the California Public Records Act.
• If appointed, you will be required to take an Oath of Office and are subject to filling a Statement of Economic Interests pursuant to the City's Conflict of Interest Policy (Resolution 2023-01). @ I acknowledge and certify that 1 meet the requirements listed in the notice above.
Prefix* Last Name* First Name* Middle Initial
Dr. Vu Van H
Mr., Ms., etc.
Date *
8/30/2024
Name of Board, Commission, Committee, or Task Force*
Harbour Commission
Length of Residency in Huntington Beach*
29 years
Occupation*
Medical Doctor
United States Citizen?* Currently Serving on a City Board or Commission?*
• Yes O No
• Yes @ No
Home Address: *
Street Address
Address Line 2
City State
huntington beach CA
Postal / Zip Code
Phone Numbers Phone Numbers
Personal Business
Type * (?) Number* Type (?) Number
cell
Personal Email*
Educational Background*
1986 - BS Microbiology - University of Washington, Seattle 1990 - MD - University of Washington School of Medicine, Seattle 1994 - Residency, Anesthesiology - University of Southern California USC 1995 - Fellowship, Pain Management - University of Washington School of Medicine, Seattle 1997 - Board Certified in Pain Management and Anesthesiology
Professional Licenses and/or Associations*
- California Medical License - Current
- Washington Medical License - Current
- AMA member.
- Pain Management and Anesthesiology member.
Professional Experience*
- Founder / Owner : California Pain Center since 1995 (HB/FV) - Founder/ Owner: Coastal Surgery Center (HB)
- Past Chairman, Dept of Anesthesiology - Huntington Beach Hospital - Co-owner: TS Cosmetic Labs, Inc - Stanton, CA
- Real estate commercial and residential owner and operator.
Special Knowledge or Skills*
- Medical Doctor/Practitioner and business owner in OC for 26 years. - HB resident and real estate owner for 26 years.
- Huntington Harbour resident for 19 years.
- Scientist with Microbiology expertise and boating experience for 40 years. - Operated multiple business in OC.
Civic Interests and/or Service Memberships?*
Medicine, scholarship, children, community, and philanthropy are my main interests:
- HB Harbour Commission, current
- Leut. Governor - Kiwanis International, CNH 23-24
- Past President - Kiwanis club of HB 2022-24
- HB Fire Foundation Board member - 21-current
- Bolsa Chica Conservancy Board member - current
- FV Chamber of Commerce Board member - current
- Past boards: American Cancer Society - VP west region, OCVA Lions- Founding member, VP-Sec of VPASC, HB Community Health Advisory Board.
How will your qualifications best serve the citizen advisory group that you are applying for, and why do you wish to serve on this group?*
I have lived in HB for 26 years and in the harbor for the past 19 years at Christiana Bay and it would be an honor for me to continue to serve the community in the capacity of the Harbor Commision. All of my life I have been and active boater, water sports enthusiast, and an avid fisherman, and a community volunteer. The harbor is a gem to the city of HB and dear to me and I would like to continue to make it the best possible place to live. I have enjoyed my time on the Commission in the last 3 years as we have been able to achieve some of our goals. But many projects remain ie Clean Water, Boating Sately... and I would like to continue to accomplish these goals in the next term.
• I certify that all statements made on this application are true and correct to the best of my knowledge. I have read and understand the duties and responsibilities of the particular position that I am applying for and authorize the release of this information.
Signature *
29 It is the policy of the City Council to make appointments to the citizen commissions, boards, and committees, based on the needs of the city, as well as the interests and qualifications of each applicant. Selection will be made without discrimination based on the applicant's race, color, ancestry, national origin, religion, creed, age (40 and over), physical and/or mental disability, sex, gender (including pregnancy, childbirth, breastfeeding or related medical conditions), sexual orientation, gender identity, gender expression, medical condition, genetic information, marital status, military or veteran status, any other category/status protected by federal and/or state All applications will remain active for one (1) year from the date received and be kept on file for 2 years for the position(s) applied for.
Additional information concerning a particular commission, board, committee, or task force or the application process is available through the staff support department identified above. General questions can be directed to Cathy Fikes, (714) 536-5553.