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 I meet the requirements listed in the notice above.
Prefix* Last Name* First Name * Middle Initial
Mr Latham Michael
Mr., Ms., etc.
Date *
5/6/2025
Name of Board, Commission, Committee, or Task Force*
City Celebration Committee
Length of Residency in Huntington Beach *
Over 15 years
Occupation*
Respiratory Therapist/ Photographer
United States Citizen?* Currently Serving on a City Board or Commission?*
• Yes • No
• Yes • No
Home Address: *
Street Address
Address Line 2
City State
CA
Postal / Zip Code
Phone Numbers Phone Numbers
Personal Business
Туре* (?) Number* Type (?) Number
cell
Personal Email*
Educational Background*
I have my Associates of science degree
Professional Licenses and/or Associations*
I have my Respiratory practitioner license from the Respiratory board of California Professional Experience*
In addition to providing critical care services at a local hospital for over 15 years. I've been a professional photographer for almost as long.
Special Knowledge or Skills *
I believe one of my greatest skills is knowing the heart of or great city and capturing moments to share that make our city the envy of the world.
Civic Interests and/or Service Memberships?*
l've wanted to help my community since I was very young, l've always felt a calling to help and do good. As a Respiratory Therapist I have had that opportunity and worked tirelessly through the pandemic to do everything I 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?*
Over the past almost 20 years there has been very few events or celebrations I have missed here in Huntington Beach, and I have captured many of them. I believe through my photography experience and eagerness to show how great this city is I could fulfill my dream of helping celebrate our beautiful city and do more for our amazing community!! Thank you for your consideration and time!
• 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*
mato
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.