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2022-06-13_item_6.1_mayors_referral_appointment_of_three_3_members_to_the_senior_advisory_commission

Lathrop City Council
June 13, 2022

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2022-06-13_item_6.1_mayors_referral_appointment_of_three_3_members_to_the_senior_advisory_commission
Meeting
June 13, 2022
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Lathrop City Council
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Text extracted from the city's file for reading and search. Open the original on www.ci.lathrop.ca.us. That file is the official record.

ITEM 6. 1

CITY MANAGER' S REPORT
7UNE 13, 2022 CITY COUNCIL REGULAR MEETING
ITEM: MAYOR' S REFERRAL
RECOMMENDATION: Appointment of Three ( 3) Members to the Senior Advisory Commission, with Term Ending, 7une 30,
2025
SENIOR ADVISORY COMMITTEE — LMC CHAPTER 2. 24
The Committee currently has three ( 3) available vacancies.

Three ( 3) seats available with existing term ending June 30, 2025 Existing Date of Reappointment Term Expiration
Commissioner( s) Appointment Date Date
Vada Klin man 7/ 20/ 15 6/ 18/ 18
6/ 30/ 21 to 6/ 30/ 22
9 Termed out thereafter)
Note: 1 year term
extended due to Covid- 19
6/ 30/ 21 to 6/ 30/ 22
Termed out thereafter)
Gerald Rose 7/ 20/ 15 6/ 11/ 18 Note: 1 year term
extended due to Covid- 19
Unscheduled Date of Reappointment Term Expiration
Vacancy Appointment Date Date
Commissioner( s)
06/ 30/ 22
Termed out)
Robert Long 11/ 19/ 18 6/ 10/ 19 Resigned in March 2021, position was not filled
due to Covid- 19
Three ( 3) applications were received.

APPLICANTS FOR CONSIDERATION:

1. Teresa Provencio

2. Nadine White

3. Larry Belfield
ECE 1fED
COMNIISSIOl'+TICOMMITTEE APPLICATIOI AY . N 2 2
u
APP1Yfngfor: __ a'. l cl/ r nr{ ' Y'kUt't
i CLERK
s cw eaq•
Yoath Ad isnry Com aission: Mu be a Lathrop rcaidcnt betwccn L3 to 18 years ofage to serv ou this commission.

Se.t
torAdrlsory Canurisrio: Must be a Lathrop resideqt SO yeats of age or over to aerv an this niaaion. j' R g,Par s RecreotloR Co ruwJssto» s, arid Maawre C Qversight Cornnr ex: Must be a Gthcvp resideat tn serve on this commission.

PI F l E PRINT OR TYPE THE FOLLOWING IlYF'ORMATION
Name: Q SPc a°.' lLt t
Address: City: t.' I' v t+ Zip: `''%'"'
Telephone ho) Telephone{ work}
Telephone( cell) Telephone( other)
Emaii= Resident af the City dfLathrop: years
Do you haue Trans} ortation to attend the Cominission meetings and Functions? Yes j No B ckground Inform tion:

Are you nlated to a current City Empjoyee?
Ify, givc name and relationship
EmploymenWolunteer Infarmatlon:
aw1 a, vc 1 d-, t
r,' t ?. D2o
organiaatio t Date .
r l N{ c.1'! 1-cC c. t. 1 , G amt) J` f' o Cdw2' / 1(,. a u.-- Locatton p s
Responsibilities/ accomplishmcnts. R... h (, 1 y{ , 7 7" t„ fi YY? IGtQ +', 1r L', c 2. t' t ., 7't't V r!t E. L v'at1c L. ao L z - .-
t ganixatron Dara
x.. as m, Varun ec--
t.ocation Positio( s)
ResponsibilitiesJa complislunents: t5 Gc} tt , b
Community Activit s that you ha.ve beea involved with( fee! free to attach additianal pages) vi S3 v2 it UC'" t w i i
2D/ y 2 16 2D l
u..

N oforg Pasition/ Re ponstbilllfu_ Da tcr
r,rx r
c,,p.c e
Name ojOrganizalian PosiJtoit/ Rtsp onslbiliNulAcro nplishmants pares Speciat Awards ar Recagnitions you hnve received: ! ` iyCc'' C ' 1B y„ / iG-,(, 1, tar t.t c,-' a.+ C. l-. c/ 15n"/
Educatioaal Informat n:

Educatronullnstitutian Degret/ Dtploma Fleld y r
F.drrcatiarra! Ir rtiltrtian Lk,gree/D[pto, na Field Year Additio el Iaformation( Please provfde any other informution which you feet would be useful to the GYty Council in` Freviewin83'+u aPPl c#art.) l- Y 7'',. 1'f..r't J r" !,7 ..'' i+rEt" k)e t. eC ` tYG 7 7 . I.

L'
f.

Plsase stgn ard datt you appGratian and sarb e t ta the D ce ojtbe C' ty Clerk ot tlie addnss below. l- y 12 Zv z2.
s nas
Parmt/Guardian Si nabue( Reqatrrdfor Youtli. dvisory Condfdates o ty) City Clerk
City of LatLrop
390 Towne Centre Driv
Latl rop, CA 95330
CO1V. VIISSI(JNICOMNIITTEE APPLICATION
APPIY for: n i o v rn i s io
S eciai Rcauiremr pb: vEa
Y A c to: cu a
ihrop c, 3 ia MAY 2 3 2p22 ycars ofage to serv va thia comm s on.

SewiarAdvtsory Co a sio r: Mnat be a Latbrap residea; S4 yeus of age r over to awe ps this co C Plarnhrg. Parb R on o amissielrs, erid 11leasrrre C OverstaJ t Cauab ttea: Mnst be Q Le tcitil i this commiasi n.

PLEASE PRINT OR TYPE TQE FOLLQWING QRMATIUN:

NaYr e• ! V 01 c i n C. GV Yjl` P..

Address• City_ . a ro p 2ip: 53_
Telephone( home} Telephone( work)
TeIephone( ceU)_- Telephone{ other)
Email: R+esident oftbe City of Lattuop: y,eazs
Da yau have Transportation to attend ffit Commission meetings aad Functions? Ycs l, Na Backgraund Informs tion:

Are you related ta a current City Employee? 1Up
If yes, give name and reiationship
EmploymenWoluntcer Information:

Gt." 1 4' Q! '. n c p r @ h`i, 1-'
O ganlwtion Dare
l...a hra > 1io u h fe r
Lacahon Pasitian( s)
R sponsibilities/ accomplishments: tro u. h n rnor-.t,
Orgarilxatlon e
I,ocotion Posirion{ sj
Responsibilitiesiaccomplishrncttts:

Community Ac ea that yau have becn invalved with( fecl free to attach additional pages) A i a ( i h tt r a OOb— r'PSPn`"
Na e ofOrgantza are Posit on/Rapa slb lltfes Dotet
y
i#
Nanre ofOigaRuatioa Po.sltio rlResponstbt111ics/ rlc:cnraplisharenls Dutu Special Awsrds ar Recog nitians yon have received:

Edac tttonal Information:

Sun Jase 5-ufA MAST iZ t
irarH S rrn e j7g'
Educatio al ln.zztitwion Lkgree/ Diploran Fle Ytar
T—
Cal S a.- e - . s- 3 u 3At?+c-; o 1 1v s c q` 7- j
Educational hsstitution Ikgne/Dr`ploma Fteld Yeat
Add tional Inform tior( Please provlJe any other i»formatfan which youfeel woulai be erseful to the Ciry Counc! in reviewing,} u appticatian.)
Flease s gs and date yo t applteation and sab nit to tlie O, ct ojthe G3ity Clerk et the address below. rl, tm.... r''-/ a -. t
r`1 f Z.r 2 2.

Sygaadue pa
ParendGu d sn Sigeatttre( Reqtrlre,d,fnr Youtk rldvisory Candidutes orely) City Clerk
Cily of La throp
390 Towne Centre Drive
Lathrop, CA 95330
CtJNIlVII,SSIQN/ Ct NIll TTEE APPLICATIUN'
MAY . x0
APP g for: eN o ft, I' vt.s 2
y
n1 c
w..
i
SD REQM t'!.1l1l0{ 3i
Yoatli Advlaory Canrinasion: Mnst be a Lt6rap residcnt bdwocn 13 to L S years of a e ta aexve oa dus commission.

Se eior A
sory Canurtssteie: Must be a Lathrop resident SO yeacs of a e or averto en e an this commission.

PlanuP, Pnrk d Recre a Co f ows, s Meosrrne C pver r ht Co rre: Must be a Lathrop resideat to scrvc on this commissiaa
R LL
Name: r
t e. 7 e.1a
Address• city:,, p Zip: i 5 3 3 C
Telephone( home}-. Telephone{ work)
Telephone( cellj Telephone( other)
E: Resident of the City of Lathrop: _ year;
Do you have Transpartation to attend the Commission meetings and Functians? Yes t C` No Back raand Infarmatiow:
are you retatCd co a cun t eity Employee No
If yes, give name aud relationship
EmpiaymeaWoivateer Iniorm tlon:
l 1 nr-r-,e. r b r Cs.,tr$" 3 - . z
orga» aotian tlate.
t 57 p7 5"` 5''- 1, r t-- r
On Pasitton{ s)
Respansibilities/ accomgtishments: w" t e. . k, . t,e t,. , t-, a-F S,. v'ro: Q.. r m /` i? 3 -- - t x''
s fi'.s.' S u/ a 4/ r T' 3 --"' r f Z. b 13
Orgatr o t Aate

5.- t-... C.. o. t'c.... Cov 1vTy Yi"k.,. o,rd ' t''- S'"-. n Pas& io( s)
Respoasibilitiesiaocomptishments:

Community Activities t6at yau have been involvad with( feel& ee ta aitach additional pages) N re ojOrga izatiac Posflfon/ Res stbfltttes Dates
NaareafOrganLtatron Pasilion/ Responsibillues/ Accamplishine rts Dalu Spectal Awarda ar RecagniHons yau 6ave received;
EdacxtMnal Informatioa:
t f 4Nc- c tt v' t.. Qtv q_? t— 1 c13
E'duc tianart Inslitutfon ikgree/Dlploma Fleld Year
c' f r't l' Cs.'+ ' C_ '" t-1 N1 , C7 t e t ac t 1 7 J '' I 7 Educatlonal Jnstttutlon DegredDiptomo F"ield Year
Addition l Informstion( Please provide arry other i f'orn atlon which yoa fee! w+outd 6e trseful ta the City Council in`°--` revlewin83' u aPPl ca#on.)
t ov, K. Wof% txl tiT" I'Ylw'' a>>` .+ rnnta.•!# y trt.t. 5, c. oS.*-- 3fb vJ•,d a.

A t w" k cls -- t{tr s `.. a.,,..,, r^
Plt tse slgn attd dateyoa apptira iio ared sabmit io the Uf,ice oftJre City Cler/r at the address below.. j —/ /—Zcs,.--
Si Datc
Pa t/Ciusrdian Signatwe{ Reaqwiradja Ymrtlt Adv3sory C.andtdates onty} City Clerk
City of Lathrop
39Q Towne Centre Dcive
Lathrop, CA 95330

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