LAGUNA CITY OF LAGUNA BEACH
BEACH APPLICATION FOR APPOINTMENT TO
CITY COMMISSIONS, COMMITTEES AND BOARDS
CALIFORNIA
*An individual may not serve on more than one body (Admin Chapter 5 General Policy 5-15) I am applying for appointment to: (check the box that applies) Select no more than (2) choices Planning Commission Housing & Human Services Committee SoLag Water/Sewer Committee Design Review Board Emergency/Disaster Preparedness Committee Recreation Committee Arts Commission Environmental Sustainability Committee View Restoration Committee Heritage Committee Parking, Traffic & Circulation Committee Investment Advisory Committee NAME: Shelly Bennecke
CURRENT/PERMANENT RESIDENCE ADDRESS: Laguna Beach, CA. 92651 YEARS RESIDING IN LAGUNA BEACH: 17 PHONE NUMBER:
EMAIL ADDRESS:
OCCUPATION: Venture Capital
CIVIC/COMMUNITY INVOLVEMENT:
(1) Current Chair of Emergency Disaster Preparedness Committee. (2)Former Chair, Environmental Sustainability Committee. (3)Wildfire Task Force Ad Hoe Committee Member: (4) Climate Action Adaptation Plan (CAAP) Ad Hoc Member (5)CERT Member. (6)Citizen Academy Graduate. (7)CFO/Treasurer Greater Laguna Fire Sate Council. (8) Frewise Neighborhood Leader for ABH Laguna.
REASON FOR INTEREST IN THIS BOARD/COMMISSION/COMMITTEE:
In my nearly 8 years volunteering, it would be great to have the opportunity to continue the work on the EDPC we are embarking on with our new FEMA Lifeline work plans. It truly has been eye opening to volunteer for 2 of our cities committees and ad hoc teams in addition to start the Firewise commitments for the shared action toward fire safety. Thank you for your consideration on another productive term.
RELATED EXPERIENCE:
Items stated above in the Civic/Community Involvement section in addition: (1)Red Cross Trainer for CPR, corporate emergency preparedness leader at large Media Company. (2) Certified Mediator trained in hostage, international trade and dispute negotiations.
I declare under penalty of perjury that the information contained in this application is true and correct, and I understand that any falsification or omission may be cause for disqualification. I understand and agree to the following: a) that any or all information on this form may be verified; b) that this document is a public record subject to disclosure under the Public Records Act; c) that, if I am appointed, I may be required to submit a Conflict of Interest Form 700 (available on the Fair Political Practice Commission website: www.fppc.ca.gov) May 03 2026
Signature Date
YOU ARE ENCOURAGED TO SUBMIT A RESUME WITH THIS APPLICATION AND/OR ATTACH A SEPARATE DOCUMENT IF MORE SPACE IS NEEDED.
EMAIL COMPLETED APPLICATION TO [email protected]
OR LAGUNA CITY OF LAGUNA BEACH
ACH
APPLICATION FOR APPOINTMENT TO
CALIFORNIE CITY COMMISSIONS, COMMITTEES AND BOARDS CALIFORAIA I AM APPLYING FOR APPOINTMENT TO: (SELECT NO MORE THAN 2 CHOICES) * An individual may not serve on more than one body (Admin Chapter 5, General Policy 5-15) Planning Commission Housing & Human Services Committee | SoLag Water/Sewer Committee Design Review Board / Emergency/Disaster Preparedness Cmte. Recreation Committee Arts Commission Environmental Sustainability Committee View Restoration Committee Heritage Committee Parking, Traffic & Circulation Cmte.
Investment Advisory Committee Other:
APPLICANT INFORMATION
Full Legal Name
William Randolph Dodge Il
Current / Permanent Residence Address (Laguna Beach, CA 92651) Applicant must be a resident of Laguna Beach
Years in Laguna Beach Phone Number Email Address
Occupation / Employer
William Dodge MD
QUALIFICATIONS & BACKGROUND
Civic / Community Involvement
Laguna Beach Fire Department Medical Director
Emergency and Disaster Preparedness Committee Vice Chairman Reason for Interest in this Board / Commission / Committee I am an emergency physician, US Navy veteran, and resident who has experience in emergency management. As a resident I am aware of the challenges Laguna Beach faces in regards to fire, earthquakes, etc...
Related Experience
Current Vice Chairman of EDPC
CERTIFICATION & SIGNATURE
I declare under penalty of perjury that the information contained in this application is true and correct, and I understand that any falsification or omission lay be cause for disqualification. I understand and agree to the following: a) that any or all information on this form may be verified; b) that th cre Form 00 avaloe an the far Pical acides Corin edit acy ha, i am aporied, I may be required to submit a Conle c May 03 2026
Signature Date
YOU ARE ENCOURAGED TO SUBMIT A RESUME WITH THIS APPLICATION AND/OR ATTACH A SEPARATE DOCUMENT IF MORE SPACE IS NEEDED.
EMAIL COMPLETED APPLICATION TO: [email protected]
OR LAGUNA CITY OF LAGUNA BEACH
BEACH APPLICATION FOR APPOINTMENT TO
CITY COMMISSIONS, COMMITTEES AND BOARDS
CALIFORNIN
I am applying for appointment to: (check the box that applies) Select no more than (2) choices Housing & Human Services Committee Personnel Board
Planning Commission
Emergency/Disaster Preparedness Committee Recreation Committee Design Review Board
Environmental Sustainability Committee View Restoration Committee Arts Commission
Heritage Committee Parking, Traffic & Circulation Committee NAME: Drake Smith
CURRENT/PERMANENT RESIDENCE ADDRESS: Laguna Beach, CA. 92651 YEARS RESIDING IN LAGUNA BEACH: PHONE NUMBER:
EMAIL ADDRESS:
OCCUPATION: Campaign Field Coordinator
CIVICICOMMUNITY INVOLVEMENT: | currently seive as Compaign Fiz/a Diredor for Oc Supevisor Katrina Folly - wording directly with residens, volutes, and community orgs. Policy /District Intern prior to my switch to the cunpays. Laguna Beach CERT acaden gradere.
REASON FOR INTEREST IN THIS BOARD/COMMISSION/COMMITTEE: Laqua tales uniqu vildfile, evacuation 4 disaster chalks. beene te not quietio t Lagua buch residents need to be soactively invoke and engeni in our city's effurts in satery and disaster preparntion, wether it be havan your home bast GERT practices, or commuity awaruss b ebutin.
RELATED EXPERIENCE:
Policy - Couty d Orange, Connity Envgeny Respase Tran fondemy- City of Lagina Beach, Field Coordinater - Katrina Foley fu Superior.
I declare under penalty of perjury that the information contained in this application is true and correct, and I understand that any falsification or omission may be cause for disqualification. I understand and agree to the following: a) that any or all information on this form may be verified; b) that this document is a public record subject to disclosure under the Public Records Act; c) that, if 1 am appointed, 1 may be required to submit a Conflict of Interest Form 700 (awailable on the Fair Political Practice Commission website: www.fppc.ca.gov)
05. 14 : 2026
pignature Date
YOU ARE ENCOURAGED TO SUBMIT A RESUME WITH THIS APPLICATION