ITEM 6. 4
CITY MANAGER' S REPORT
JUNE 12, 2023 CITY COUNCIL REGULAR MEETING
ITEM: MAYOR' S REFERRAL
RECOMMENDATION: Appointment of One ( 1) Representative to the San Joaquin County Commission on Aging with Term
Ending June 30, 2026
SAN JOAQUIN COUNTY COMMISSION ON AGING
Members of the Commission on Aging are appointed by each of the City Councils of each incorporated municipal entities within the San Joaquin County, each of the members of the Board of Supervisors, and by agencies providing services to seniors. The regional commission currently has one ( 1) available vacancy; one ( 1) application was received.
APPLICANTS FOR CONSIDERATION:
1. Evonne Ince, received 05/ 30/ 2023
OMMISSION/COMMITTEE APPLICATION
Applying for: _ jY%r cr V- u, C M1y) 1 SS 1 &)
Special Requirements:
Youth Advisory Commission: Must be a Lathrop resident between 13 to 18 years of age to serve on this commission.
Senior Advisory Commission: Must be a Lathrop resident 50 years of age or over to serve on this commission.
Planning, Parks & Recreation Commissions, and Measure COversight Committee: Must be a Lathrop resi ry D
this commission. tiff
PLEASE PRINT OR TYPE THE FOLLOWING INFORMATION: MAY 3 0 23 Name: vpY1 i 1' 1CP CITY CLERK
Address: City: Zip: Q_
Telephone ( home) ' _ Telephone ( work)
Telephone ( cell) Telephone ( other)
Email: Resident of the City of Lathrop:
Do you have Transportation to attend the Commission meetings and Functions? Yes Background Information:
Are you related to a current City Employee? _ N (")
If yes, give name and relationship
Employment/ Volunteer Information:
Organization Q VideYi- l&c Date
Responsibilities/ accomplishments:
years
Noo
Position( s) -
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Community Activities that you have been involved
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I' 11)1V"V1 1nLl- 1\ 1AII/ a// f 0 Irv, hc r/ .- I-" 4ACi// ofOrganization Poskion/ Responsibilities Dates
Name of Organization Position/ Responsibilities/ Accomplishments Dates Special Awards or Recognitions you have received:
Educational Information:
r V 1 Y' OVl 11Qd' l
Educational Institution Degree/ Diploma Field Year
Cci
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19 Educational Institution U Degree/ Diploma Fielir Year Additional Information (Please provide any other information which you feel would be useful to the City Council in reviewing you application.)
Please sign and date you application and submit to the Office ofthe City Clerk at the address below..
Signature
Z5
Date
rarent( uuardian signature ( Required for Youth Advisory Candidates only) City Clerk
City of Lathrop
390 Towne Centre Drive
Lathrop, CA 95330
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