ITEM 6. 1
CITY MANAGER' S REPORT
MAY 8, 2023 CITY COUNCIL REGULAR MEETING
ITEM: MAYOR' S REFERRAL
RECOMMENDATION: Appoint Ten of Thirteen ( 10 of 13) Members to the Youth Advisory Commission with Term Expiring May
31, 2024
YOUTH ADVISORY COMMISSION — LMC CHAPTER 2. 20
The commission will have Thirteen ( 13) available vacancies; Ten ( 10) applications were received. Staff will continue to recruit until all vacancies are filled.
Former Date of Reappointment Term Expiration
Commissioner( s); Appointment Date Date
Daniel Manzanares Jr. 9/ 12/ 22 n/ a 5/ 31/ 23
Pranav Vemparala 7/ 12/ 21 9/ 12/ 22 5/ 31/ 23
Angelina Michelucci 9/ 12/ 22 n/ a 5/ 31/ 23
Amani Watson 9/ 12/ 22 n/ a 5/ 31/ 23
Bradley Hurlburt 10/ 10/ 22 n/ a 5/ 31/ 23
Vaelua Vitale 11/ 14/ 22 n/ a 5/ 31/ 23
Harnoor Brar 11/ 14/ 22 n/ a 5/ 31/ 23
Daniel McCray 11/ 14/ 22 n/ a 5/ 31/ 23
Gurjot Singh 11/ 14/ 22 n/ a 5/ 31/ 23
Osen Ugbiyobo 11/ 14/ 22 n/ a 5/ 31/ 23
Julissa Aguilar 11/ 14/ 22 n/ a 5/ 31/ 23
Manpreet Bains 11/ 14/ 22 n/ a 5/ 31/ 23
Christopher Cadiente 11/ 14/ 22 n/ a 5/ 31/ 23
APPLICANTS FOR CONSIDERATION:
1. Angelina Michelucci
2. Christohpher Cadiente
3. Myli Bella Charlie Babagay
4. Zurina Folkes - Williams
5. Harnoor Brar
6. Gurjot Singh
7. Shubneet Kaur
8. Manpreet Kaur Bains
9. Tanya Singh
10. Osen Ugbiyobo
p GC C nM
CUMMISSIONlCOM[ MITTEE APPLI `, ''
PAaKs n o RECR ArioN
Applying for: __ ''' ' dUi 4. A- h1; SSr oh
Snecial Requ[rements:
Youth Advisory Commrssion: Must be a Lethrop resident betwcen 13 to 18 years of age to serve on this commission.
SeniorAdvisary Conrmrssion: Must be a Lathrop resident 50 years of ge or over ta servc on this cornmission. 1'lanaing, Parks& Recreoteon Comniissions, and leasrrre C Oversighl Commitiee: Must be a Lathrop resideni to serve on this comrnissian.
PLEASE PRINT OR TYPE THE FOLLOWING INFORMATI4N:
r
Name: C I V 1(.- Q• LlC(.
Address: City: ' 1 a Zip: 3
Telephone ( hame) Telephone( wark)
Telephnne{ cell) Telephone ( ather)
ErnaiL• Resident of the City of Lathrop: , years
Do you have Transportation to attend the Commission meetings and Functions? Yes) NoO Background Information:
Are you related to a cunent City Employee? _ ,
If yes, give name and relationship
EmploymentNolunteer Information: 2,3 -- } 1 Q„ J
t o P
Or ani ation Date
t a 7`
01zS 2 4'.. t
Location Position( s)
Responsibilitiesfaceompl' hments: t/ S " 19 k a( L tt'' 0' Lc1 h4 a t.
Organization Date
Localian Positron( s}
Responsibilitieslaccamplishments:
Community A tivides that you have been involved with{ feel free to attach ditional pages} Iu' Si` t V
j al S VU V'' D L 12/. St/' rvtt, l.,tr d.( .--- h, l/ 2 L("" f W Nanee ojOrganiaation Positio r.Responsibilities Uates
M -``-- r'".. h d th- Mh c
c a s 2 Zo ..... }-aw
Nante oJ rgani ulion Pvsi ion/ Responsibilities/ Accomplishmenls Atxles Special Awards or Recogaitions you have received: S h b -'` 5, c
t/ td 4 oI ` 9' Q f P` r t9- J P ` L2 fi Y' 3 SPeY¢ P
C Q' C'{„ trf tn o`rl<i'h f S£ t.c: c n P 1.,
R
Educational information:
h # ig t,1 a t 2r..
Eduratio ial Jnslitrrtion DegreelDiplorna Field Yeut
Edirrational/ nstitulion DegreefDfploma Field Year
Additiotlal IrifOl' m tlOn ( Pleuse p ovide any other iirformation whicli yoie j el ti onld be usefcrl to tlre Cily Coiutcil i t revie vingyoir appticativn.)
W o t h +{ t
Y t t` h S S ' ro 5
d I ! E' t. y v-c, r,` Pc G J L :
v e, Cvh ' f 1 uYe 4"0
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Q, U t1 Q. h 0 d l Pu".
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Pl sesig
ri and date or a licatinir a rd subn: it to t/ie O ice o tlte Ci Clerk at the address below.. 1' PP f.l . T h' tM 3
Si namrc Date
PBrendGuardi Sig»ature( Reqeiiredfor Youth Advisory Candidates anly) City Clerk
City of Lat rog
390 Towne Centre Drive
Lathrop, CA 9533Q
COMMISSION/ CUMMITTEE APPLICATION
Applying for: _, u,, oL%Svr _ rnrniss%o2
Spectal Rcaufremcats:
7TKl' lPr 1a ..SOpf, d•M7¢+ tii
Yau1h Advisory Cammissron: Must be a Lpthrop resident bcnveen 1310 18 ycars afege to serve on this comrriission.
SeniorAdvisary Con+n issTon: Must be a Lathrop residcnt SO years of age or ovcr lo scrvc on ihis rornmission.
Plannleg,Parks dc RecrenNan Com nisslons, oad Ateusrrre C Overs ghJ Com niltre: Must bc s Lsthrop resident to servc on this cornmission.
PLEASE PRINT R TYPE THE FULLOWING INFORMATION:
aP 0 4 202
Name: e
RK
Address: City: t"Jql Zip: 5.,3 OU
Teiephone( home) Telephone( work)
Telephone( cel[) Telephone{ other)
Email: Resident of the City of Lathrop: / 6 years
Do you have Transportntion ta attend the Cornmission meetings and Functians? Yes NaO Background Inforrnation:
Are you related to a current Ciry Employee?
f yes, give namc and relationship •
EmploymeaWolunteer Ia[ormation:
s G- a o'// zz <_ r- s
Organrsa ron Date
y
firnrJ !/ a= _S o/ t'l.erri etLocation Pos111on( s)
Responsibilities/ accomplishments: G 1L O rrsu, s. SG+ lo/ dn ` iP/ v G/ e c ar , / 1 P, a,. 3/ t,P ,
L/. S h'ev / ub - / s o// a_
Orgadrzrrtton Dale
b lprt"
LocaNan Posit; on(s)
Responsibiliries/ accamptishmeats: YD/Grt/" PGl r 0 h Q. e c4Pievvra0'inQ rr, S r outi rr Cah ce^ rJa, r n,fs
v o'
Cammunity Acrivitics that you have been involved with( fcel frcc to at ach additional pages) Du , Ac ur w C. ,SeGr iljl'/.z. - 05/.. i/ ao 3
Nonic ojOrganisati ia r " PosilioidRcsponsrbiliitcs Dafes Nunl ojOr, u: i_utiorr PaxrtronlRespernsfbilities/ Accnmptishruents Dutes Special Awards or Recognitians you bave received: / sc a.r /'3/.S 2.cr S . 5' uo'. c.' z ./ l'tcr t ..Qw-/ s G s .,1q.r^. a,/. ra. f3lr clc L " r' rr !'-o%( `i!r- cc rr p.fn. s rr
c// Pns 1/ s.
Educational Information;
n sd'a.le / rr,, Q, y irr. . h I f ir.` ro, G/ a o" 1
Educn in+all sritrrtfon Dcgrcr' Diplania Ffr/+dL. Yenr
p!. i7lp C.Zp.t'
r r. zC f L1! 5
Ediac; utionat irstitutron DegrttlDipJo rta iatr!— Ienr Additionat Intormation( Plense provtde tz y orher i jarmation vhfch youfeel uoutd bc usEf 110 the City Counci! in reviesi i agyou nppGcution.)
Z rry r rrrP LJ i t.t 4arl drI t ' e
4 iL r . A C1/ J.Sdr C..rra, ndss,r'on,.
A/ 1e s . 2act/' ftaF tt. t",•s/ P./- t/. L/'. rr. r 4 otr i. C: t2l d' _." la..rliro -.,' ti-. L'a rc r / r P { a _,_ i12 t rzL''.
Lvi7. -.++, re s
7 t Gr,+ r t/ t r llott- CG>t77muni u .
t r. Z` . rrc a culra_s- r - ilr- 5. iru. P cr
G o' G n, r _ 7" t..r!'/ cc rn,u. ' ie s
a
t
Pleus sig r ariddateyatr applictttian alyd suhn ld to tl e+Ojfice ojtlie City Ctprk at t/ae uddress below.. t'.',%--'- u -- G.3 / 6/:, 02.3
S ignaturc Qatt
Pa Guardian Si, t rc{ Reqltfredjor} autir AdvJsary CaaJdidates onty) City Clerk
Ci#y t f L. s throp
390 Towne Centre Drtve
Lathrog, CA 95330
CUMMISSION/COMMITTEE APPLICATION
Applying for: , o,.„ v,,, C t'+m m. 5c+t' 1
Saccial Reauirements:
Youth Advisory Commission: Must be a Lathrop resident between 13 to 18 years of age to serve on this commission.
Seniur Advisory Comm sslon: Must be a Lathrop resident 50 years of agc or over to serve on this commission.
Planntng, Parks& Recreation Comrrrissions, and Measure C Oversight Committee: Must be a Lathrop resid this cammission_
PLEASE PRINT OR TYPE THE FOLLOWING INFORMATION: APR O s ZO Name:
Address City: L,(., tit_,_____` Zip: `'' 33 a
Telephone( home) Telephone( work)
Telephone( cell} Telephone( other)
Email• Resident of the City of Lathrop: years
Da you have Transportation to attend the Commission meetings and Functians? Yes NoO Background Tnformation:
Are you related to a current Ciry Employee? r' C
If yes, give. name and relationship
EmploymenWolunteer Information:
Vbc le{. t G- n. c rr. F+ ( SS SI,.#. i c r
c{ 2acs o tti
Organiaation D e
a-- v
VKS ,.
t-q ' t 1 n+r' C e e 1+ c r5
Location Position( s)
Responsibilitieslaccomplishments: (, i , d, 1 e' n fcs ,.,,,- s.
Organizatian Date
Localinn Pasition( s)
Responsibilitiesfaccomplishments:
Community Activities that you have been involved with( feel free to attach additional pages) MnS P 1 Vc^ ti ree' Mn C, nc cZ.a
Nanre ofOrganizatia2 ositian/ Responsib lrties Dales
M_r sdcu sci t o C otDe r1G 20
Name aJOrgani_ a io i Posi ion/ ResponsibrlitieslAccomplishments Dutes Special Awards or Recognitions you have received: „ o,. rec eu] r rv'N« Lalps mr F r. L_ 1r... l, s. . s. xi1C r. , 1+a. e.f rbi 4.,..
Educational Informatian:
t
k
c e aEdiccationa! Ins i ution DegreeJDipJonra Fi Year
Edurationa! Institi iwi Degree/ Diplana Field Year
Additi0t a1 I[tformatioq( Pleuse provide any other informution tivhich you jeel x>ould he: uefti! ro tlre Ci y Co tncil in revie ving yoii applicrrtron.)
1 , t -T- o- r br 1., u.{'P ra Vt Gr^ i'{-, n n c T r.c eN2 N 1 iv _ tYVI— Q O .' 1 f YNM'L'1 . It
Please sig and date you upplication aiid subntit to the Of ce ofthe City Cterk at the address 6e% w.. r 3- v -
Signatu' e U!' e
J
r' C , r"r
ParendGuardian Signature{ Reqi+ i dfor Youth visory Candidates only) City Clerk
City of Lathrop
390 Towne Centre Drive
Lathrop, CA 95330
d MMISIQ taMMITTEE APPLICATION
A' R 12023
PA' A"C
6urh a. v s d,r co r; s.s o c
Sneciul Reuuirements:
Ynrrtli Advisary Cmm: issinn: Must be a Lathrop resident bet vicen 13 to 18 years of age to serve on diis commission.
Senivr Adi=isar,y Commission: Must be a Lathrop resident SO years of age ar over to sen e on this cotnmission.
Alanning, 7' arks& Recreatinn Cn1rr» issiuns, nnd Measure C pversighr Cammitiee: Must be a Lathrop resident to serve on d is commission.
PLEASE PRINT t) R TYPE TNE FOLLQti' ING INFQRMATIUN:
Name: J 1 YI.t.Z.. O t.c1 i 1 { iGX.
Address: City: _ ... r-t,"Ir t"' ' Zip; g 3
Telephaae ( home) Telepl one{ tivork)
Telephone( cell} Telephonc{ other)
EmaiL• esident oFthe City of Lathrop:_ J years
Do yau have Transportation tc attend the Cornrnission meetings and Functions? Yes [ Y1 No L7 Back round Information:
Are you related to a current Ciry Emplr yee?
f yes, give name and relationship jj
Employmentll' olunteer Ir formatian:
Z2 /' 3
Organi ation L} ute
t_._ t t , i 6 t C LL{ '-('
Locarion f' osition( s)
Responsibilitiesfaccomplishments: R2 Pp n j a Y' C o lf l'fjY 1+ 1d C , c,uY_t,. i g T L Y t C Gc d- v'i` c.us 6w- r
r
D F a. h,t o i" 2 12
3rgnnizutrvn Dute
L- t- h,-ra 1° a..S 1 i '
Locatinn Pnsition(.sJ
Responsibilitieslaccomplishments; 2S F' ang, a ,,. o r l C' i 9 yh p (, vy , tV} /'t, "!,,? C 1' r-- t [7... l'. t— F.Xx' cxl+n.2 s.'.,r l f i C U , tG' Y!'(, P.." S Ctimmunity Activities that you have been involved with( feel free to attach additional pages) Ca. s r r.,d Pa,9 n - Cati'-,- 2.2.../ l5
Name af rgn rr_ation Pasitiorr Respansibilities Dates
t. 3a...ha.. f. ysn e tdfi ,' 1 Bi bt Y 3e." 20/ g f2a 2-Q NameofClrgani atiatt Aosition/ RespvnsiGiJities: tec on:plrsh» rentc Dates Special Awards ar Recognitions yau have received: t 1'' C' t.( Educational Information;
ft - s. s Nl z a.
Edurc ttonallnstitutian Degree=l7iplomu Field Year
r'v j' high. ot. 1 A a `.-
Ec ucalioncrllnstitutron Degree' Lli tanra Field ear
Additional Infflrmation{ PleAse provide anv other i rjormation vlueh yo: feed- ould 6e use rllo the Citv Council in revie i ing yair u} plication.)
J 5 ' t G. VS t'i'C fic G"` l. tCd ' tP `' A'' W t- 1ti'-1( Q Y' a.x#- c. f't.d o v i t.. s k'` .' V i' - •
Please sigii und rtate yoir upplication aud sribn:it ro the Offrce nft/ee City Cterk at tl e address hetv v.. i 2.ii' Q1.'-', 1---- 1.-
5 gnature Date
ParendGuardian 5ignature( Reyerired for Youth Advisory Cartdidates only} City C1erk
CiEy of Lathrap
390 Towne Centre Drive
Lathrop, CA 9533U
4 °`
CONIM SSION/ Cf MMITTEE APPLICATIUl
4! z
0 Applyillg for: I' ! I1
tJ w
Sptcial Reqniremeata: w
Yautb Advisory Commissiar: Must be a E. athrop rcsident bttweet 13 to t B years of age to serve an this c mmis o . ' z Senlor Ads sory Coni uissJan: Must be a Lathrop residrnt 50 years af gc or over to se rvc on this carnmission. t/3 Plan» tng, Parks< k Recnmion Come issions, and Mtesrrrr C Overslght CoruurFuee: Must be a 1, atiuop residr e serve on Y this commission.
L== r_.""_, n`
t.
I,FASE PRINT OR TYPE THE FOLLOWENG INFORMATION:
Name: —
Address• City:,--- Zip: U
Telephone( home Telephone{ work)
Telep ghon( other)
Eraail Resident of the City ofLathrop: years
E7 o
yau have Transportatian to atteud the Cornmissian meetings and Functians? Yes No Bacic rauad Informatian:
Are you related to a current City Employee?
f yes, give name and relationship
EmploymentNalunteer Iuformation:
v
r r'zaremr oare
Localion position( s)
Respo ibiliti accomp ishmants: L 5 O
4 r
C z ,____ r
ILI 2n23
Qrganizatian D re
I
Ltrtatian Positian( s}
Respon ' bilities/accomplis rne ts: S
Community Activities that you have been involved with{ feeS free to attach additinnal pages JVame of Organizatrarr PositinnlRespo rsibilities Dates Name ojOrganf: al[ort PasitionlRespons/ bilitieslRcromplishmeRts Dates elal Awards or Recognitiona yon have received; 4 s,
a
5 l r , ll. 5,! . 1: f
y
Educational Infflrm tioa:
a22
irca# anal lnsfitution flegreelDiploma etd Yeur
Eduralional instftuliaR DegreelDiplama Field Year
Additioi t i Info['m8tittR{ Please provide nny ather i jormution whFch youjee! would b usejul to 1he Cltv Counci! in review yo r app icution.)
Ptease sigtr a rd date yau a,pplicatios and sub» it to t/re O ce ofthe City Clerk at the ttddress b low.. 40`` ,' Zlf 202'
signawrc t?ats
st" t3h k
ParendGuardten Signature( Reqrrtred far Youtly ddvlsary Candfdates only} City Clerk
City of Lathrap
390 Towne Ceatre Dr ve
Lathrap, CA 95330
1 ``y..
CCIMMISSION/ COI iNii'TT'EE AFPLICATION
o
ApPlying for: tr, a
a
Sncdal Rcauircments: j
c.
o w
Yarrth Adyisary Comn lsslon; Must be a Lathrop residcnt bctween 13 to 18 years ofagc to servc on this ca n.
Senlor Advisory eommfssiad: Must ba a Lathrc resident 50 years of a e ar over to strve att this commiss Plaanitrg, Parks. fi Recnatiod Co issiom, and Measare C Oversight Commtdre: Must be a Latlu op res this commission, o servc on Y
C
OG
PLEASE PRINT 4R TYPE THEFQLLQWING TN t, RM TION.
Namo•
Address: City:._,,, i
j;.l.l Z p.
Telephone( hc mc) Telephc ne( wark)
Tetephone( ceIl) Tele hone{ other}
Email. esident af the City of L,athrop: _ years
Do you have Transportatioa to attend the Commission meetings and Functions? Yes No Background Informatian:
Are you related to a cuirent City Employee?
Ifyes, givc aame and relatianship
EmploymentNolanteer Infarmatioa:
c7 - } c" 2 t t i1 -
Organ attan tp
T l
i
1 1 ', J`- tY' x'- V l'3`; rl'1-'.,.. 2., C`'
LocQhan Posltion( s)
Responsibilities/ accomplishments:
C) gantaation
Locotian Pasitian( s)
Rtsponsibilitieslaccomplishrnents:
Y,,
Cammunity AcNvttiea that yau have been involved with{ feeI& ee to attach additional pages) Narna ofOrgareization Posittan/ Responsi6il+ties Dates
Nume aJQrgnnisalion PositfottlResponsibf ftfes/ Accamplishu en s Dates Spectal Awards or Recugnitions you have received:
Educational Iuformsttion;
Edttcalional lnstihuian DegreelDiploma Field Year
Edercateonallnstftutian DegreeJl) iptanea Field Year
ABditiOnal ItilormBtioD( Please provide any vther irrjormrrtion wl7tch yoirfecft fi autd be crseful to the Ci1y Council in revie vr'ng you appticai on.)
PJea re srgn artd dale you applicatinn at:d stthmit to the ce aJthe Clty C7ark at the address below..
Sign turs Datc
e n
Parcnt/ Guardian i twtturc equlredfar Yat th Advisory Candidutrx only} City Clerk
Clty of Lathrop
390 Tuwne Ceutre Drive
Lathrop, CA 95330
4 COAtMISSIONlCOMMITTEE APPLICATION
a
Applying for: ou' t vi5or" CAY"
Soeci l Reauirements: C
w
Yoarlr Advisary CoAuarissian. Must bc a Lathrop resident between ! 3 W t$ yeaes oE' age to serve an tbis camm on. '.~ c Seninr fdvisor F Ca n,ission: Must be a Lathrap resident 50 yeats af age or aver to serve on this cammission a 4 Flanxlr g, Parks,& Recreation Cnmmissio ts, attd Measttre C Oversight Cu» tt tJttee; Must be a Cathrop resi+c j to Serti•e vn X this cornmission,
C Q PLEASE PRINT QR TYPE Tli FQLLOWING IN' ORMATIUN:
Name: Shubneet Kaur
Aaa s: tathrap CA Z,p;
9533
Telephone( honne} Telephvne{ wark
Telephane( cel!), 11, 1, Telephone{ other 1111 1.
Ernail Resident c fthe City af Lathrop: ye r
Do you have Transportation to attend the Commission meetings and Functions? Yes No Backgrownd Int'c rmation:
Are you celated to a current City Employee? o
If yes, give name and relationship
EmploymentlValunteer Information:
Qrgcarizatrvn Date
Locatian Positio( s
Responsibilitieslaecamplyshrnents:
Organiratrort Date
Locatian Posi rort( s)
Respc nsibilitieslaccomplishments:
Community Activities that you have been involvec3 with{ feel free to attach additional pages) h'anze ojOrgantzation PositianlRespor ssibiliti s Da[ es Name of Organlzatlon PosttionlRespansibilitieslAcramplishments Dares Special Awards or Recogn tions you have received: M s, Cerifciates, Honor Rolls, Perfect Atfendance
Educatic na[ Infarm$ tian;
Joseph Widmer Elementary 2 12
Edurationrrl lnstitution DegreelDiploma Fietd Yeur
E. athrop High Schoai 2022
Educutrarrallnstrtuttvn Degreef.Uiptoma Freld Year
Additiansl Informatian (Pleuse pro jide any ather inforn:atrvn vhich youfeel would be useful to the City Council r revietving} ou applicarran, J
Baseti off of my experience whilst working with others I believe I cou d play an important role as a YAC member and make use of my integrity a nd responsibility to ftafill my future educational an saciai goais. Through leadership I wauid be more then happy to advertise, par#icpate, and attend all events when neccasry.
Please sign and date you apptication and submit ta the Office ofthe City C7erk at the address below., 4/ 11I20
Signatu Date
ParenVGuardian S'sgnariuc{ Required J'or Yauth Advisvey Candidates only} City Clerk
City of Latlirap
390 Towne Centre Drive
Lathrap, CA 9533Q
C4MMISSION/ COMMITTEE APPLICATION
Applying for: 0} h Advi ot'y om,rn s5 or
Socciul Rcquircments:
Youth Advisary Comnrission: Must be a Lathrop resident between 13 ta 18 years of age to serve on this commission.
SeniorAdvisory Conrnrission: Must be a Lathrop resident 50 years of age or aver to serve on this cammissian.
Planning, Parks& Recreatinn Comniessions, and Measure C Oversight Conrnrittee: Must be a Lathrop resident to serve on this commission.
PLEASE PRINT OR TYPE THE FOLLOWING INFORMATION.
a 3 oz
Name: __1 lQrnQt` 2e} av ti1n i'!"W' !' ti
a
Address: Cih'_ roP . _ Zip: q r'J33 0
Telephane ( home Telephone{ work}
Telephone{ cell} Telephone( other)
Email: Resident of the Ciry of Lathrop: ti rJ years
Do you have Transportation to attend the Commissian meetings and Functions? Yes NaO Background Information:
Are you related to a current Ciry Employee? n
If yes, give name and relationship
EmploymenWalunteer Information:
Cs ce.eri Gl b
a J HS ;. 12122 -- P' e seh
Organi: ation Dale
4 Yrro gh S nvc 1 Yv, mbe'
Location Position( s)
Responsibilities accacnplishments: Col 2G C'e, cx ne Gy 1ec '' a s cxs' n G nio YtSGhoo1 carr p t5.
laS "S nkt- uG Clvb v ,'( "_ pr sc''.
Urganization Da1e
cr k
n t"aP M Sc,tr, oal memhCY
Lacatinn Pasrtian( s)
ResponsibiliEie accomplishments: - t d j UG1£ d Sa wiGhQ r q, wrp} e
YYto ivG- t iq np ' n' t5Sc l
t,S a'`R kor n t SS .
Community Activities that you have been involved with{ feel free to attach additional pages) ov r, A t, Sa cy Co+ m SSivn ViGe Ghair Y
II /{ 19 2 — ' esent
Nan c of Orbanizatiar Positiorv' Rcsponsibilitie. s T Do1es A 48 2' 1
l .,. _ ( Lf-I / 2,1
rl ennic 1 eGa' hion rn2 b. r
1 Nume ojOrgani uriat ositrqn/ Responsibililies Accomplishmenls Dutes Special Awards or Recognitions you have received: ac k- n ( o} y. C -- ( a/ 9 ,}, HS Sfivc en o k` n MoY, kh qwarcl }.. 2tt i Bla k '"L" Mocsc.a1 T wc rc, S 1. 1SQ diS ric YY c tk1' 1 GiwAfi , VQ1. cs 1G} oric n ' or OSSc QI Educational Information:
La ncoQ i9i^ Sc. nool N 1
N A 2oZ S
Fdrrcatiaral lnstittdion DegreefDiplvnra Fie/ d Year
N , q
Edriratrana! Inscitulion DegreelDiplonta Field ear
Additional Information( Please pr•ovide any other informatrafi tivlricl7 yocr fee! x auld be ttsef af to the City Courrcil in reviewing you application.)
am Cuc'Y nkl h8 ViGC {. f1Gt1r f 'h ou h Adv;So+r r ComrriiStion q} tkhd' b?, t ve_ m+ E'+ x} u t+.+n Ql tnr'ter 1.. - h Co t c.i) R
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Ptease sigrr a d date yau applicalion u rd sr bnrii to the Office oftlre City Clerk at the address belaw.. g, + ta.t.' t p W 101 Za 23
Signaturc Datc
L - f 1",_. 3
Pa Guardian Signatur ( Required jor Y'outJr Advisory Calydidates o rlv) City Clerk
City of Lathrop
390 Towne Centre Drive
Lathra, CA 95334
CO1;i1ViISSrON/ QNIMITTEE ACPLICATIO
p ying for: Yo l i So m L rL
Si rciai itcguirrmrnts:
t urh t(rt i or C i+nxrisxi rr hlust bc a Lathrvp res cfcnr bctx ccn 13 to t K yean uf agc to scrvc on this cammissiun 5rniar. ldi isnr• Cun r ssir n: liuss bc Lati rop rrs lcnt 54 ycars of agc or o tt 1b scrrc un thi9 Cortv» is ion. i'lannin, Parkc& Ite c rrorinn' rrnrmisri rns, prid, 9lc rs rre G'() trxi h Cnrnr» Fnet: 11ust tz a t. atfirop residrn to s i i cui. ui icsinn.
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cicplrc}nc( homc Tclephanc{ work}
T' cicplyunc{ ccilj Tclephone( othcr)
Emai] csis eni of 3e City flE' Lothrc: '.. ycars
l u yar lia• c Tr nspanation to aktcnd tlzc Con mission wncc in; s and FunziionsT Yes Nu I3nci:; rauud Inl'ormution.
lt c yoti rclatcci io a curret i City Employcc7 Q
If yc. ivc name anci rclationship .. Yl, 71 —
mpla}' ment/ 1' nlnnteer informasion;
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e c ev nfi - an t f- 1e' N+ ln ca n s pCes c ev1 c nd C r i r Lcrruur rr arirtnn( s)
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Eclue t€ onal [ nsorm tion:
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Plertse si t ant/ dult, uu rPnlicatiu urrrt, crrhrilit t ttre D ce vf!! C Cit Ctrrk at thr urldress bcrtm.. 1123
S gna urc Datc
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ParenVGuartl an 5, oturc( Rr uir
otith rtc/ rrcr r,• Cundrrlcrts. t orrl)
C3t}° Clerk
Cit}' nf Lathrap
34p Tn ne Centrc pr ti•r
Lathr p, CA 95330
CUMMISSIUNICOn IMITTEE APPLICATION
Applying for: y- n c vi' Y_v,', prnm i Sti c n
Saeciat Rcauircmcnts:
Youih AdvFsary Cammissian: Must be a Lathrop resident between 13# 0 18 years of age to scrve on this commission.
ScniorAdvisory Con issinn: Must be u Lathrop resident 50 years ofage or over to serve on thrs commission.
Planntag, Parks& Recrcatfon Commisstvns, and Measerre C Overslght Cunimltl e: Must be a Lethrop resident to scrvc on this commission. t r
PLEASE PRINT OR TYPE THE FOLLOWING iNFURMATION:
V
M Y 03 2023
Name: IC K
Address• City: Zip: g,
Tclephane( home} Telephone{ work)
Tetephone( cetl) Telephone( other)
Email: Residettt ofthe City of Lathrop:_ years
Do you have Transporiation to attend the Commission meetings and Functions? Yes No Backgrouad Ioformat an:
Are you related to a current City Employee?
If yes, give name and reiationship
EmploymentNolunteer Information:
s 2_'` 7' c t h g c P 1' V1it n
QrganLvtion Date
tC l.t, b` rop 1fi aL, ViD` t 1 1 r'
Loca lon Position( s)
Responsibilities/ accomplishments: YY t'(1 S C?n OU f +ri c c'11rn e 1 " ' v' d '
J hroa ' ah`- r1s ' Y, e. ba m 2022- 2oz3
Orgnnizativn
i
Date
l. inrQ N o, C r' etn C! o
L cation
T—Pasition(s)
Responsibilitieslaccornplishments: 20ZZ - Z o" L3 Cvac1` 3 t., rcl . YYi Y1( m _ Q
Cammunity Activities that you have been involved with( feel free to attach additional pages) CX v g t?i l YT1 a Vi S Ylic 6 vJ+' n Y ktv PS
Nomc ofOrgani: ation Posireon/ Resporesibilitrrs 13ates flY1V S J i ll S"PY
w aY 85 2r ' x.inW
Cc. Wrr
g't
11jv ne ofOrgmti: alion asitivn/ Responsibfltilesl 4cromplishments Dut s Special Awards ar Recognitions you have received:
1n XO .
W
1.1J K' 1
Educstiana! InformaHon:
Bdu atfona!! ns rrtlon L7egreclDiplama Ffeld Year
EtIIfCQIlOAl1/ I11Sl IltllpR DegreelDiplvma Fietd Year
Additionat[ nformution( P1edsC pravtde any other rrformation ivlrichyoujeel rould be usefiil! o tlie Ciry Cou ci! in revie ring votr uppJiration.)
ti O}
v i c t
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L, d t ys
c. e e
P/ease sign and date you a
plicatio i and s bmit to tlie O ce o,/'the City Clerk a11he address Lelow..
MstircY' 231 t12
s
Pare uard'tan Signaturc( Requiredfor You h Advisory CandJdures only) City Ci rlc
City of Lathrop
390 Towne Centre Drive
Lathrop, CA 95330