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3/30/2023 4:00:00 PM
www.modestogov.com
AGENDA
City of Modesto
SPECIAL APPOINTMENTS COMMITTEE / COUNCIL
WORKSHOP
2001-40 Del Puerto Room
Tenth Street Place, 1010 10th Street
Modesto, California
Thursday, March 30, 2023 at 4:00 PM
Roll Call: Rosa Escutia-Braaton, Chair
Chris Ricci, Vice-Chair
Jeremiah Williams, Member
Alternates: David Wright, Sue Zwahlen, Nick Bavaro, Eric Alvarez “Wordly” can translate into 25+ different languages! To access written translation during the meeting, please scan the QR Code or click this link https://attend.wordly.ai/join/RJDY-6364.
"Wordly" puede traducir a más de 25 idiomas diferentes! Para acceder a la traducción durante la reunión, por favor escanee el código QR o haga clic en el enlace https://attend.wordly.ai/join/RJDY-6364.
THIS MEETING WILL BE PHYSICALLY OPEN TO THE PUBLIC AND BY ZOOM
VIDEO CONFERENCING AND TELEPHONE
Effective March 1, 2023, if a technical issue arises with Zoom or the phone dial-in option, the Committee meeting will continue unless the meeting is being held pursuant to the provisions of Assembly Bill 2449. Alternative viewing options are listed below and the meeting is physically open to the public.
You may observe a livestream of the meeting at http://media.modestogov.com. You may also participate in the meeting as indicated below.
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PARTICIPATING IN CITY COUNCIL COMMITTEE MEETINGS
As a courtesy, the City of Modesto is providing alternatives to view Council Committee meetings and provide public comments. If you wish to make either a general public comment or to comment on a specific agenda item, you may use one of the following options:
SUBMITTING COMMENTS BY E-MAIL
Written comments may be submitted via email to: [email protected] (include Agenda Item Number in the subject line). All comments will be shared with the Committee Members and placed in the record, but will not be read aloud during the meeting. Written comments must be received two hours before the meeting.
VIRTUAL PARTICIPATION BY ZOOM VIDEO
CONFERENCING AND TELEPHONE
Joining the Committee meeting via Zoom
The City of Modesto is now offering the ability to view and participate in Committee meetings via telephonic conferencing via “Zoom” video conferencing computer technology. The meeting may be accessed through the use of Zoom using the following options:
Enter the following link into an Internet Browser
https://us02web.zoom.us/j/86945970570,
Enter the following link into an Internet Browser https://zoom.us/ and using the Webinar ID 869 4597 0570
Passcode 84326
To use Zoom, please visit: https://zoom.us/ and either sign-up for a free Zoom account or continue as a guest. Once you have downloaded the app onto your mobile device, joined from your web browser, or downloaded the Zoom software on your computer you will be ready for the upcoming Committee meeting.
Joining the Committee meeting via Telephone
If you don’t have a smart phone or computer to access the meeting via Zoom, you can participate by phone, by calling 1-877-853-5257 (Toll Free) or 1-888-475-4499 (Toll Free) and enter the Webinar ID 869 4597 0570 Passcode 84326
Providing Public Comment on Zoom and by Telephone
The Committee Chairman will request public comment during the Public Comment periods on the meeting agendas and during each Regular Calendar Item on the Committee Agenda. Once the Chairman has announced the public comment period, please do one of the following.
USING A COMPUTER OR SMART PHONE APP:
Click on the “Raise Hand” feature in the webinar controls. This will notify City staff that you have raised your hand.
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City staff will unmute your microphone when it is your turn to provide public comment.
A prompt will appear to confirm you would like to be unmuted and then you will have three minutes to provide public comment.
Once your public comment has ended, you will be muted again.
USING A REGULAR PHONE (not using a computer or smart phone APP):
Dial *9 (star 9), this will notify City staff that you have “raised your hand” for public comment.
City staff will unmute your microphone when it is your turn to provide public comment.
You will hear “you are unmuted” and then you will have three minutes to provide public comment.
Once your public comment has ended, you will be muted again. If your phone is unmuted, and you are unable to be heard, the host may ask that you Dial *6 to toggle mute on/off in Zoom.
Additional Zoom resources/support
Please visit Zoom’s website support page on helpful tips to prepare for the meeting:
https://support.zoom.us/hc/en-us/categories/201146643
Council has not delegated directive or final approval authority to the Committees. Committee actions are recommendations to the full City Council, not final decisions on an issue.
PUBLIC COMMENTS
Please refer to the special comment instructions above.
Three-minute time limit per speaker.
Only interested persons in the audience may present these matters. Under State law, Councilmembers may respond to matters being presented under this item only as follows:
a. Briefly respond to statements made or questions raised. b. Ask a question for clarification.
c. Provide a reference to staff or other resources for factual information. d. Request staff to report back at a subsequent meeting. e. Finally, a Councilmember or the Council itself may take action to direct staff to place a matter of business on a future agenda.
Any and all of the following agenda items are subject to action by the Modesto City Council.
This Agenda is on file in the City Clerk’s Office, Sixth Floor, 10th Street Place, Posting Board at entry of 10th Street Place, and is available on the City’s Web site at www.modestogov.com. - 3 -
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In accordance with the requirements of Title II of the Americans with Disabilities Act (“ADA”) of 1990, the Fair Employment & Housing Act (“FEHA”), the Rehabilitation Act of 1973 (as amended), Government Code section 11135 and other applicable codes, the City of Modesto (“City”) will not discriminate against individuals on the basis of disability in the City’s services, programs, or activities. For more information, please visit the City of Modesto website at https://www.modestogov.com/865/Americans-with-Disabilities-Act-ADA In compliance with the Americans with Disabilities Act, if you need special assistance to participate in this meeting, please contact the City Clerk (209) 577-5396. Notification 48 hours prior to the meeting will enable the City to make reasonable arrangements to ensure accessibility to this meeting.
NEW BUSINESS
1. Conduct first round of interviews of all eligible applicants for the Community Police Review Board. (Funding Source: Not Applicable)
CITY MANAGER; Allison Van Guilder, 209-577-5228, [email protected]
ADJOURNMENT
to Monday, April 3, 2023, 8:00 AM (Day 2 of Interviews) Posted pursuant to Government Code Section 54956 on the bulletin board at Tenth Street Place on at by
date time signature
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3/30/2023
CITY OF MODESTO
APPOINTMENTS COMMITTEE
AGENDA REPORT
DATE OF MEETING:
March 30, 2023
Date: March 22, 2023
TO: Appointments Committee
Rosa Escutia-Braaton, Chair
Chris Ricci, Vice Chair
Jeremiah Williams
THROUGH: Joseph P. Lopez, City Manager
FROM: Allison Van Guilder, Deputy City Manager
SUBJECT: Community Police Review Board Interviews
CONTACT: Allison Van Guilder, Deputy City Manager
[email protected], 209-577-5228
DESCRIPTION:
Conduct first round of interviews of all eligible applicants for the Community Police Review Board. (Funding Source: Not Applicable)
STRATEGIC PLAN ELEMENT:
The recommended action supports the City’s 2020-2025 Strategic Plan Initiatives: Goal A.
Improve Community Safety- Engage staff and local organizations in public safety efforts.
BACKGROUND
The newly formed Community Police Review Board (CPRB) of the City of Modesto was established by Modesto City Council Ordinance No. 3753-C.S.,i on December 13, 2022, as recommended by the Forward Together working group created on June 8, 2021 by Council Resolution No. 2021-216.
Pursuant to Council Resolution No. 2022-358 on August 23, 2022, the Forward Together working group report was accepted by the Council. Included in the report was the recommendation to establish a community oversight board and independent police auditor for the City of Modesto.
The establishment of a Community Police Review Board was recommended as a dual component of a hybrid police accountability model.
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Appointments Committee, March 30, 2023
Community Police Review Board Interviews
DISCUSSION:
The application process to fill the nine vacancies on the newly formed Community Police Review Board opened on January 3, 2023 and closed on January 31, 2023. City staff advertised these vacancies using a variety of methods including social media, email, webpage, and direct stakeholder outreach. As a result of these efforts, 73 applications were received during the open application period.
At the time of this report, 47 applicants were deemed eligible for interviews after completing the eligibility verification process in accordance with the bylaws. These applications are attached for the Appointments Committee to review and interview. The verification process included various membership eligibility requirements, such as being a registered voter in Modesto and undergoing a background check, including fingerprinting. Applicants identified as ineligible may have been determined to reside outside of Modesto city limits or in a county jurisdiction; not be a registered voter of Modesto or be actively employed by a law enforcement agency. A portion of the applicants were deemed ineligible due to not completing the fingerprinting process and some chose to self-withdraw their application for unidentified reasons.
As outlined in the CPRB bylaws, applicants are subject to interviews by the Appointments Committee. Due to the large number of applicants, these meetings are scheduled to take place over three days. Committee members will be evaluating the applicant’s overall qualifications, their responses to the questions on the application and two additional questions during the interview. It is proposed that the 15 highest ranking of all 47 eligible applicants be invited to a second interview. Following the second interviews, the Appointments Committee will recommend the appointment of nine individuals to the CPRB, as required by Council policy, followed by final approval of the City Council. Per CPRB bylaws, the CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations and neighborhoods/districts in Modesto.
FISCAL IMPACT:
There is no fiscal impact related to this action.
RECOMMENDED COMMITTEE ACTION:
Staff Recommendations:
Conduct first round of interviews of all eligible applicants for the Community Police Review Board.
Approved by:
Allison Van Guilder, Deputy City Manager
Joseph P. Lopez, City Manager
Attachments:
1. Community Police Review Board Applications
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Appointments Committee, March 30, 2023
Community Police Review Board Interviews
i
https://www.modestogov.com/ArchiveCenter/ViewFile/Item/3675 #1..
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Submission ID: dda2f156-0486-47cc-86e6-98d0feb9d6c7 Page 1/9 Community Police Review Board Application for Appointment 01/30/2023 2:11 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
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Submission ID: dda2f156-0486-47cc-86e6-98d0feb9d6c7 Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
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Submission ID: dda2f156-0486-47cc-86e6-98d0feb9d6c7 Page 3/9 Name Ajay Mangal
Mailing Address
City Modesto
State California
Postal Code 95355
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name Travelers Insurance
Job Title Risk Control Construction Western United States #1..
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Submission ID: dda2f156-0486-47cc-86e6-98d0feb9d6c7 Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
49 Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
No
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
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Submission ID: dda2f156-0486-47cc-86e6-98d0feb9d6c7 Page 5/9 References
i. Name
Saory By
Address
Modesto 95355
Email Address
Phone Number
Relationship
Significant Other
ii. Name
Trong Vuong
Address
Email Address
Phone Number
Relationship
Friend
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Submission ID: dda2f156-0486-47cc-86e6-98d0feb9d6c7 Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
Native Hawaiian or Pacific Islander: Persons having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
Gender Male
Age over 51
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Submission ID: dda2f156-0486-47cc-86e6-98d0feb9d6c7 Page 7/9 Do you have any educational institution information to add? No Do you have any professional
licenses / certificates to add?
No
Please include anything further
you would like to add to your
application regarding your
educational background.
Years of investigation exp. Member of the community for 49 years #1..
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Submission ID: dda2f156-0486-47cc-86e6-98d0feb9d6c7 Page 8/9 List any organizations or groups
that you belong to or are involved
with:
N/a
Briefly explain your interest in
serving on the Police Review
Board.
I feel I would represent and bring knowledge to and from an under served community. I am Hindu and from the Fiji islands
What personal experience or
qualifications will you bring to the
Police Review Board?
Served as a reserve Police officer for 6 years, have 20 years of investigation exp.
Please share examples of your
community involvement.
Homeless advocate, work with animal rescue groups as well.
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
As a public relations professional for several fortune 30 companies, I am used to works with a diverse background. I conduct educational seminars regularly and will use my experience to help educate the citizens of Modesto.
Date of Birth 1969
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name Ajay Mangal
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Submission ID: dda2f156-0486-47cc-86e6-98d0feb9d6c7 Page 9/9 Please Sign File(s) attached:
Executed on: (Date) 01/30/2023
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Submission ID: 12c4e301-885e-41c0-b3c1-a4afab6115df Page 1/10 Community Police Review Board Application for Appointment 01/06/2023 12:41 AM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
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Submission ID: 12c4e301-885e-41c0-b3c1-a4afab6115df Page 2/10 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
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Submission ID: 12c4e301-885e-41c0-b3c1-a4afab6115df Page 3/10 Name Anthony Drobnick
Mailing Address
City Modesto
State CA
Postal Code 95350
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name Modesto City Schools
Job Title Student-Teacher
#1..
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Submission ID: 12c4e301-885e-41c0-b3c1-a4afab6115df Page 4/10 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
25 Years
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
Yes
Previous Boards or Commissions
i. Name of Board or Commission
Citizens Housing & Community Development Committee
Start Date
04/06/2021
End Date
01/01/2024
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
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Submission ID: 12c4e301-885e-41c0-b3c1-a4afab6115df Page 5/10 References
i. Name
Dr. Juvenal Caporale
Address
Email Address
Phone Number
Relationship
Professor | Course Taught: Education for Social Justice | Course Taken: Fall 2022 ii. Name
Mr. Michael Beeman
Address
Email Address
Phone Number
Relationship
Cooperating Teacher | August 2022 – Present
#1..
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Submission ID: 12c4e301-885e-41c0-b3c1-a4afab6115df Page 6/10 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
White: Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.
Gender Male
Age 21 to 30
#1..
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Submission ID: 12c4e301-885e-41c0-b3c1-a4afab6115df Page 7/10 Do you have any educational institution information to add? Yes Educational Institution Information
i. Course of Study
Coursework in Political Science, International Relations, and Education with an emphasis on community organizing and educational reform.
Degree Yes or No?
Yes
Please Describe your Degree
Spring 2020: B.A. in both Political Science and International Relations with a minor in Education from San Francisco State University
ii. Course of Study
Coursework in Multicultural Education; Special Education; Equity, Diversity, & Inclusion; and a StudentTeaching Practicum with 10th and 12th grade students at James C. Enochs High School in Modesto Degree Yes or No?
Yes
Please Describe your Degree
Anticipated Graduation, Spring 2023: Single Subject Teaching Credential (Social Science) Do you have any professional
licenses / certificates to add?
Yes
Professional Licenses / Certificates
i. Description
Emergency 30-Day Substitute Teaching Permit
Date Issued
10/21/2022
Please include anything further
you would like to add to your
application regarding your
educational background.
I also spent time as a visiting scholar at Sacramento State where I had the opportunity to study California politics and work in the State Assembly, dealing with policy issues such as housing, education, and public safety. #1..
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Submission ID: 12c4e301-885e-41c0-b3c1-a4afab6115df Page 8/10 List any organizations or groups
that you belong to or are involved
with:
Modesto City Schools:
I'm lucky to serve the public as a student-teacher. Students, their families, and the community at-large are all stakeholders in education, and it's my job to support them all through my educational work. I spent much of my working day teaching highschool seniors about government; this includes the study of local government. In teaching my students about the city of Modesto, I'm practiced in making local issues clear and relevant to young people who are on the precipice of their adult lives.
Briefly explain your interest in
serving on the Police Review
Board.
I believe that every Modestan deserves both the material conditions of a safe community in addition to the emotional/psychological sense of security. I want to help our community achieve a positive peace in which every resident can be proud of this city. I have a deep love for Modesto, but I recognize that many people who grow up here are eager to move away to somewhere they see as safer or as better for raising a family. I am committed to bringing my skills, experiences, and perspective to the Community Police Review Board to make Modesto a destination city where everyone's safety is guaranteed. I want the public to see the good that Modesto already has to offer, but also have the courage to imagine what the city can become if we all work together.
What personal experience or
qualifications will you bring to the
Police Review Board?
Part of my role as an educator includes teaching Modesto's highschool seniors about local government so that they can be well-informed, civically engaged, Modestans who positively shape the future of our city. I hope to leverage my educational and professional experience with community development and relational organizing to be a positive influence on the Community Police Review Board.
Additionally, In my late adolescence, my mother was homeless, and I was the person she'd call in stressful situations such as interactions with the police. This led to me having more frequent interactions with MPD. Having this street-level experience with MPD and Modesto's unhoused population affords me perspective on the intersection between the critical issues of public safety, housing, and mental health.
Taken collectively, I believe that these experiences demonstrate how I will be an asset to the Police Review Board by way of approaching public safety and accountability with a perspective that is informed by academic theory, community relationship building, and personal experience.
Please share examples of your
community involvement.
Like many young Modestans, I left town after graduating highschool and pursued higher education elsewhere; In my time away I worked in the State Assembly in Sacramento and the U.S. State Department in D.C., but shortly after graduating from University, I realized that Modesto would always be home.
Upon returning to Modesto, I pivoted toward local community involvement, because I believe that Modesto is a city worth loving and improving. Today, I'm honored to serve on Modesto's Citizens Housing & Community Development Committee, because I believe that housing is an unmet need in our community that I'm eager to ameliorate. Moreover, I turned away from a career in politics to pursue my passion as a local educator where I have the opportunity to work for students and their families. All in all, I'm involved in our community, because I know that the people of Modesto are wonderful and can work together to continue to improve our city.
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Submission ID: 12c4e301-885e-41c0-b3c1-a4afab6115df Page 9/10 Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
From political outreach to local classroom teaching, educating the public about local issues is familiar territory for me. In my time in Modesto I've been on school campuses that host more police officers than counselors, and I see how many young people have warped understandings of public safety that are influenced by popular media and political pundits. These misunderstandings are exacerbated by the fact that the issue of policing in this country has become largely partisan. I envision an educational campaign that cuts through party politics and action-movie-dramatizations. The goal of this "Demystifying Policing" campaign would be to show members of the public (especially the youth) that safety should be a non-partisan issue and that public safety in Modesto isn't what they'll find in an episode of Criminal Minds.
It's human nature to fear the unknown, and currently, many members of the public either don't understand or misunderstand how the civilian-facing elements of the justice system operate in Modesto today. Without understanding where we are now, the public will have a hard time imagining and realizing a better tomorrow. This "Demystifying Policing" campaign could elucidate local issues of public safety by exploring the work being done with alternate response models, accountability, and policies / practices. While the method of delivery may differ depending on the intended audience (e.g. short-form videos that feature personal narratives might be more effective for younger audiences), the core goal of plainly explaining the reality of policing to the public is seriously necessary.
I hope to leverage my experience and network as an educator to ensure that all members of the public are informed about public safety so that we can all work toward a brighter and safer Modesto.
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name Anthony Drobnick
#1..
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Submission ID: 12c4e301-885e-41c0-b3c1-a4afab6115df Page 10/10 Please Sign File(s) attached:
Executed on: (Date) 01/06/2023
#1..
- 26 -
Submission ID: 27d5e150-2545-4b91-8f5c-8676106347db Page 1/10 Community Police Review Board Application for Appointment 01/24/2023 4:36 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
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Submission ID: 27d5e150-2545-4b91-8f5c-8676106347db Page 2/10 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
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Submission ID: 27d5e150-2545-4b91-8f5c-8676106347db Page 3/10 Name Austin Grant
Mailing Address
City Modesto
State CA
Postal Code 95355
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name Stanislaus County
Job Title Analyst
#1..
- 29 -
Submission ID: 27d5e150-2545-4b91-8f5c-8676106347db Page 4/10 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
21 Years
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
Yes
Previous Boards or Commissions
i. Name of Board or Commission
Forward Together
Start Date
05/22/2021
End Date
12/13/2022
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
- 30 -
Submission ID: 27d5e150-2545-4b91-8f5c-8676106347db Page 5/10 References
i. Name
Jessica Self
Address
Email Address
Phone Number
Relationship
Professional
ii. Name
Chris Ricci
Address
1010 10th Street Modesto, CA 95354
P.O. Box 642 Modesto, CA 95353
Email Address
Phone Number
Relationship
Professional
#1..
- 31 -
Submission ID: 27d5e150-2545-4b91-8f5c-8676106347db Page 6/10 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
Black or African American: Persons having origins in any of the black racial groups of Africa.
Gender Male
Age 21 to 30
#1..
- 32 -
Submission ID: 27d5e150-2545-4b91-8f5c-8676106347db Page 7/10 Do you have any educational institution information to add? Yes Educational Institution Information
i. Course of Study
Political Science
Degree Yes or No?
Yes
Please Describe your Degree
I have a Bachelors Degree in Political Science from Fisk University. ii. Course of Study
Legal Studies
Degree Yes or No?
Yes
Please Describe your Degree
I have Masters degree in Legal Studies from Humphreys University.
Do you have any professional
licenses / certificates to add?
No
#1..
- 33 -
Submission ID: 27d5e150-2545-4b91-8f5c-8676106347db Page 8/10 List any organizations or groups
that you belong to or are involved
with:
Stanislaus County Parks and Recs: Member-at-Large
Forward Together: Member
Equity Commission: Member
NAACP Stanislaus: Member
United Black Student Union Central Region: President
African American Caucus: Vice President
Omega Psi Phi: Member
Briefly explain your interest in
serving on the Police Review
Board.
I want to serve on the Police review board to protect our citizens from officer involved shootings. Over the last decade the Modesto Police Department has had an issue with officer involved shootings due to failed training methods. I also want to join this board to show that our police department is making an effort to allow our community to evaluate their behavior and integrity. The Modesto police Department is also putting their organization on the line and should be commended for opening their organization up to the community. I want to them to get their shine as well.
What personal experience or
qualifications will you bring to the
Police Review Board?
I do not hold any bias toward the Modesto Police Department. I have eliminated my bias when I took part in the legacy alliance police and civilian training. at first, I did not want to join because of my past experiences with law enforcement. the training eliminated my bias because the officers that participated were honest and willing to change the narrative about their department.
I have my bachelors degree in political science and a masters in legal studies.
Also, I have auditing experience at the State level with compliance of policies and procedures with the State of Tennessee and I have legislative experience with The State of California level. I can bring my legal expertise to review bylaws, policies and procedures, and any legal matters involving the board.
Please share examples of your
community involvement.
As a young man that grew up in the city of Modesto. I can say that I'm one of the most active members in the community. I have helped out with just about every organization in Modesto from the Modesto Chambers of Commerce to the NAACP. I also put on event through out the city with an emphasis of leadership development and the mentorship of young children. in highschool, my black student union sent over 4,000 school supplies to an elementary school in Liberia, I have helped children overturn their suspensions that had disputes with Modesto city Schools, I was a Leadership Modesto Recipient in 2018, and I am putting on a spelling bee for the kids on the west side of Modesto. To me, working for my community is dream of mine and I'm truly living it. #1..
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Submission ID: 27d5e150-2545-4b91-8f5c-8676106347db Page 9/10 Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
I think they're 6 things we need to do as a board to increase outreach and education activities in an effort to build relationships with the Police Department.
1. Provide a city-wide training between citizens and the police department.
Citizens need to know how hard it is to be a police officer and what our officers face on a day to day basis.
2. I believe if we provided a montly public newsletter that shows our police department in a positive light.
3. Our police officers need to hold public community forums for our citizens. therefore, our citizens can ask questions first hand to our officers about their concerns in their community.
4. Issuing clear and quick communication after officer-involved shootings.
5. Interact with Modesto City School district and hold interventions with at risk youth.
6. Our board meetings need to be publicized to the public through social media, the newspaper, and beyond
I believe this would be a good start for building relationships with the public to educate them about the role of the CPRB.
Date of Birth 1995
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name Austin Grant
#1..
- 35 -
Submission ID: 27d5e150-2545-4b91-8f5c-8676106347db Page 10/10 Please Sign File(s) attached:
Executed on: (Date) 01/23/2023
#1..
- 36 -
Submission ID: ca856b55-87c6-4956-838f-64864956ae05 Page 1/9 Community Police Review Board Application for Appointment 01/31/2023 3:29 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
- 37 -
Submission ID: ca856b55-87c6-4956-838f-64864956ae05 Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
- 38 -
Submission ID: ca856b55-87c6-4956-838f-64864956ae05 Page 3/9 Name BRAD HAWN
Mailing Address
City MODESTO
State CA
Postal Code 95354
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name CHG Structural
Job Title Pres
#1..
- 39 -
Submission ID: ca856b55-87c6-4956-838f-64864956ae05 Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
68 yrs
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
Yes
Previous Boards or Commissions
i. Name of Board or Commission
BZA
Start Date
01/12/2010
End Date
01/10/2012
ii. Name of Board or Commission
Citizens Redevelopment Advisory Commision
Start Date
01/10/1990
End Date
01/02/2001
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
- 40 -
Submission ID: ca856b55-87c6-4956-838f-64864956ae05 Page 5/9 References
i. Name
Wendy Byrd
ii. Name
George Skol
Email Address
#1..
- 41 -
Submission ID: ca856b55-87c6-4956-838f-64864956ae05 Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
White: Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.
Gender Male
Age over 51
#1..
- 42 -
Submission ID: ca856b55-87c6-4956-838f-64864956ae05 Page 7/9 Do you have any educational institution information to add? Yes Educational Institution Information
i. Course of Study
Civil Engineering
Degree Yes or No?
Yes
Please Describe your Degree
BS CIVIL ENGINEERING
Do you have any professional
licenses / certificates to add?
Yes
Professional Licenses / Certificates
i. Description
Civil Engineer
Date Issued
06/08/1981
ii. Description
Structural Engineer
Date Issued
06/30/1984
#1..
- 43 -
Submission ID: ca856b55-87c6-4956-838f-64864956ae05 Page 8/9 List any organizations or groups
that you belong to or are involved
with:
Crosspoint Church, Modesto Rotary, Stanislaus Homeless Alliance, Modesto Neighborhoods
Briefly explain your interest in
serving on the Police Review
Board.
Served on Forward Modesto and want to make Modesto a better safer place to live
What personal experience or
qualifications will you bring to the
Police Review Board?
Forward Modesto, Former City Councilmember
Please share examples of your
community involvement.
Helping to build an effective Homeless system . Improve neighborhoods in Modesto,
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
Everything is based on good relationships. I believe we can work together to common goal if we listen and honor each other. Agreement is not required but respect and listening from the others perspective can bring great results.
Date of Birth 1954
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name BRADLEY L HAWN
#1..
- 44 -
Submission ID: ca856b55-87c6-4956-838f-64864956ae05 Page 9/9 Please Sign File(s) attached:
Executed on: (Date) 01/31/2023
#1..
- 45 -
Submission ID: 1a6bb8f0-8012-435b-a1e7-784332477a12 Page 1/9 Community Police Review Board Application for Appointment 01/20/2023 6:13 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
- 46 -
Submission ID: 1a6bb8f0-8012-435b-a1e7-784332477a12 Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
- 47 -
Submission ID: 1a6bb8f0-8012-435b-a1e7-784332477a12 Page 3/9 Name Bryan Rees
Mailing Address
City Modesto
State CA
Postal Code 95356
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name AllCare IPA
Job Title Director of Managed Care
#1..
- 48 -
Submission ID: 1a6bb8f0-8012-435b-a1e7-784332477a12 Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
3.5 years, since August 2019
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
No
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
- 49 -
Submission ID: 1a6bb8f0-8012-435b-a1e7-784332477a12 Page 5/9 References
i. Name
Matt Coury
Email Address
Phone Number
Relationship
Boss at current employer
ii. Name
Cathy Jantz
Email Address
Phone Number
Relationship
Co-Worker currently
#1..
- 50 -
Submission ID: 1a6bb8f0-8012-435b-a1e7-784332477a12 Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
White: Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.
Gender Male
Age 31 to 50
#1..
- 51 -
Submission ID: 1a6bb8f0-8012-435b-a1e7-784332477a12 Page 7/9 Do you have any educational institution information to add? Yes Educational Institution Information
i. Course of Study
Healthcare administration, Teaching, and Biology
Degree Yes or No?
Yes
Please Describe your Degree
MBA in healthcare, MS in Teaching, and BS in Biology
Do you have any professional
licenses / certificates to add?
No
#1..
- 52 -
Submission ID: 1a6bb8f0-8012-435b-a1e7-784332477a12 Page 8/9 List any organizations or groups
that you belong to or are involved
with:
American College of Healthcare Executive Member,
Prescott Junior High Student Wellness Task Force Member Briefly explain your interest in
serving on the Police Review
Board.
The Police Review Board sounds like an excellent opportunity to learn more about my local community and also provide a venue for the public to provide input and receive more transparency about activities and actions taken in their area. The review and oversight responsibilities of the board would allow me to use my analytical and research background and provide an outside perspective.
What personal experience or
qualifications will you bring to the
Police Review Board?
Previously I worked for the EMS agency in Monterey County where I collaborated with many first responder groups and staff at the Office of Emergency Services on plans for disaster preparedness and emergency response which would help me to understand the activities and policies under the responsibility of this review board.
Please share examples of your
community involvement.
I have been involved in my local emergency response teams as well as the student wellness task force at the local junior high school.
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
Outreach and communication efforts with the public are key to educating the local community and getting their buy-in and trust for any initiative. In order to build relationships with the public, mailing campaigns, public meetings, and text/phone communication efforts could be used to provide details about the board. In additional social media for the County could provide details and act as a voucher to the public to reinforce the need for and responsibility of the group including what impact CPRB could have on members of the community directly.
Date of Birth 1982
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
#1..
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Submission ID: 1a6bb8f0-8012-435b-a1e7-784332477a12 Page 9/9 Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name Bryan Rees
Please Sign File(s) attached:
Executed on: (Date) 01/20/2023
#1..
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Submission ID: 8395c816-3106-4810-b557-87a2d78d9662 Page 1/9 Community Police Review Board Application for Appointment 01/20/2023 9:42 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
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Submission ID: 8395c816-3106-4810-b557-87a2d78d9662 Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
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Submission ID: 8395c816-3106-4810-b557-87a2d78d9662 Page 3/9 Name Bryson Lambert
Mailing Address
City Modesto
State CA
Postal Code 95356
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name E&J Gallo Winery
Job Title Security Officer
#1..
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Submission ID: 8395c816-3106-4810-b557-87a2d78d9662 Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
21 Years
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
No
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
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Submission ID: 8395c816-3106-4810-b557-87a2d78d9662 Page 5/9 References
i. Name
Brannan Lambert
Address
Email Address
Phone Number
Relationship
Father
ii. Name
Nick Rutgers
Address
Email Address
Phone Number
Relationship
Family Relative
#1..
- 59 -
Submission ID: 8395c816-3106-4810-b557-87a2d78d9662 Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
White: Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.
Gender Male
Age 21 to 30
#1..
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Submission ID: 8395c816-3106-4810-b557-87a2d78d9662 Page 7/9 Do you have any educational institution information to add? Yes Educational Institution Information
i. Course of Study
Political Science
Degree Yes or No?
No
ii. Course of Study
General Education
Degree Yes or No?
Yes
Please Describe your Degree
It's a basic High School Diploma
Do you have any professional
licenses / certificates to add?
Yes
Professional Licenses / Certificates
i. Description
Guard Card with BCIS
Date Issued
11/16/2022
ii. Description
Taser Certification
Date Issued
01/20/2023
Please include anything further
you would like to add to your
application regarding your
educational background.
All Education and Certification have been added to this section. #1..
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Submission ID: 8395c816-3106-4810-b557-87a2d78d9662 Page 8/9 List any organizations or groups
that you belong to or are involved
with:
I volunteer with many organizations that help this area prosper.
California Democrats,
Democratic Socialist Stanislaus County.
Briefly explain your interest in
serving on the Police Review
Board.
I'd like to work with this review board because I see too many headlines with law enforcement that lead to people ending up dead, this is a sad fact that something that is a basic necessity such as law enforcement leads to people dying for no explicit reason. Because of this, I think my young mind could really help make a change and hold Police Officers accountable for their actions.
What personal experience or
qualifications will you bring to the
Police Review Board?
I believe my experience in the voluntary roles I have been in would help this Board greatly I've talked with Officers before and learned how they operate with the basic necessity, that many people lack knowledge of, and would be a great asset to this Board. My experience with volunteering has had me meet new people with all different backgrounds many of which have been suffering greatly from Police abuse and because of that, it makes me really want to be the voice that they can not have.
Please share examples of your
community involvement.
I've worked closely with Modesto Police Department in many events, such as the Veterans day parade public outreach in Graceada park and working with the youth in the area. I've also been to countless City Council meetings in the area and have learned a lot from the great men and women in the area that we have chosen to represent this area, that's why I'm glad they have passed this board of people to better help people in this area have a voice when it comes to police actions.
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
When volunteering with MPD at Graceada Park to have a public outreach with the youth, it's great for the people in Modesto to interact with their local police agencies and figure out what they do for us. I believe it would be great to have a talk show led by a local citizen and an officer to balance out the audience, create a gateway for talking between both sides, and let them talk out their differences.
Date of Birth 2002
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
#1..
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Submission ID: 8395c816-3106-4810-b557-87a2d78d9662 Page 9/9 Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name Bryson Lambert
Please Sign File(s) attached:
Executed on: (Date) 01/20/2023
#1..
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Submission ID: c28c5cd5-ac31-4e94-8082-db5977f8eb03 Page 1/9 Community Police Review Board Application for Appointment 01/11/2023 1:46 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
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Submission ID: c28c5cd5-ac31-4e94-8082-db5977f8eb03 Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
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Submission ID: c28c5cd5-ac31-4e94-8082-db5977f8eb03 Page 3/9 Name Daley Perry
Mailing Address
City Modesto
State CA
Postal Code 95350
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name United Way of Stanislaus County
Job Title Director of Fund Development
#1..
- 66 -
Submission ID: c28c5cd5-ac31-4e94-8082-db5977f8eb03 Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
4 years, grew up in Patterson and graduated from Patterson High School Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
No
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
- 67 -
Submission ID: c28c5cd5-ac31-4e94-8082-db5977f8eb03 Page 5/9 References
i. Name
Michael Schiefelbein
Address
(former resident of Modesto)
Phone Number
Relationship
Former Pastor
ii. Name
Chelsea Foy
Address
Email Address
Relationship
Friend
#1..
- 68 -
Submission ID: c28c5cd5-ac31-4e94-8082-db5977f8eb03 Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
Hispanic or Latino: Persons of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race.
Gender Female
Age 31 to 50
#1..
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Submission ID: c28c5cd5-ac31-4e94-8082-db5977f8eb03 Page 7/9 Do you have any educational institution information to add? Yes Educational Institution Information
i. Course of Study
MA in Speech Communication, Cal State Fullerton
Degree Yes or No?
Yes
Please Describe your Degree
Master's degree
ii. Course of Study
BA in Communication, Lipscomb University
Degree Yes or No?
Yes
Please Describe your Degree
Bachelor's
Do you have any professional
licenses / certificates to add?
No
Please include anything further
you would like to add to your
application regarding your
educational background.
I have a background in teaching yoga and mindfulness.
#1..
- 70 -
Submission ID: c28c5cd5-ac31-4e94-8082-db5977f8eb03 Page 8/9 List any organizations or groups
that you belong to or are involved
with:
Association of Fundraising Professionals, Yosemite Chapter Briefly explain your interest in
serving on the Police Review
Board.
I would like to serve on the Police Review Board because I think I represent a millennial perspective and also feel strongly about bringing people together around shared values. I know policing is a hot topic, especially right now, and I think I can articulate a perspective without alienating people with other opinions.
What personal experience or
qualifications will you bring to the
Police Review Board?
I lived in the south (Memphis and Nashville) for 6 years each and was extremely humbled by own ignorance in terms of racism and my own prejudices. Thanks to some very patient and loving friends and a vibrant, diverse community in Memphis, I began my education around my own internalized racism and how to dismantle harmful systems. I will continue that work for the rest of my life. I will not do it perfectly, but it's my belief that if you're not messing up, you're probably not doing enough. I also feel strongly that "Blue Lives Matter" vs. "Black Lives Matter" is not a zero-sum game or the opposite ends of a spectrum. I think there are shared values between both "sides" and that there are things we all could get around and support. I'm not intimidated by talking about these subjects and know that it can happen in a civil, productive way.
Please share examples of your
community involvement.
I am involved at my church (College Ave. United Church of Christ) in their "Love Your Neighbor" vigils. I am part of the local "Free Mom Hugs" group that attended the Pride celebration at Graceda Park. I've attended community meetings about the Cannabis Equity grants. I've taken part of Love Modesto service days. When I moved back to Modesto 4 years ago, I made the commitment that I wanted to live and work in the city and not commute to a job somewhere else. I realize not having to commute is a privilege. But I am committed to living and working here, I send my kids to school here, and plan to raise them here. So I want only the best for this city and its residents.
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
I would love to plan "get to know you" events around town, whether that's at local parks or farmer's markets. I enjoy getting to know people and talking to people and actually prefer talking about sensitive topics, which I know a Police Review Board may be to some.
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
#1..
- 71 -
Submission ID: c28c5cd5-ac31-4e94-8082-db5977f8eb03 Page 9/9 Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name Daley Perry
Please Sign File(s) attached:
Executed on: (Date) 01/11/2023
#1..
- 72 -
Submission ID: 07bb170a-7bb8-4485-9643-168c2ee733e5 Page 1/9 Community Police Review Board Application for Appointment 01/26/2023 2:21 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
- 73 -
Submission ID: 07bb170a-7bb8-4485-9643-168c2ee733e5 Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
- 74 -
Submission ID: 07bb170a-7bb8-4485-9643-168c2ee733e5 Page 3/9 Name Diane M. Kroeze
Mailing Address
City Modesto
State California
Postal Code 95355
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name Retired PacBell/SBC/AT&T employee Job Title System Technician
#1..
- 75 -
Submission ID: 07bb170a-7bb8-4485-9643-168c2ee733e5 Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
Elementary lincoln school left via Divorce of parents, back 1955 in Modesto high school, left in 1975 to Sac.returned in 2004 tll now Jan. 26, 2023.
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
Yes
Previous Boards or Commissions
i. Name of Board or Commission
Council redistricting
Start Date
01/01/2021
End Date
04/30/2021
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
- 76 -
Submission ID: 07bb170a-7bb8-4485-9643-168c2ee733e5 Page 5/9 References
i. Name
Mayor Sue Zwahlen
Address
Phone Number
Relationship
Friend
ii. Name
Jessica self
Email Address
Relationship
Friend
#1..
- 77 -
Submission ID: 07bb170a-7bb8-4485-9643-168c2ee733e5 Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
White: Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.
Gender Female
Age over 51
#1..
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Submission ID: 07bb170a-7bb8-4485-9643-168c2ee733e5 Page 7/9 Do you have any educational institution information to add? Yes Educational Institution Information
i. Course of Study
MJC JR. COLLEGE
Degree Yes or No?
No
Do you have any professional
licenses / certificates to add?
No
Please include anything further
you would like to add to your
application regarding your
educational background.
Lots of training in telephone equipment and usage of same, plus hands on technical equipment. Experience in talking to customers , as an tel. Operator, taking trouble calls from customers re: Network problems and physically working on same.
#1..
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Submission ID: 07bb170a-7bb8-4485-9643-168c2ee733e5 Page 8/9 List any organizations or groups
that you belong to or are involved
with:
Central Valley Democratic club
Briefly explain your interest in
serving on the Police Review
Board.
My father started as a Beat/Foot Patrolman when he started in Modesto and retired as a Captain of the Patrol
division when he retired in 1963. Yr is by memory only. I remember his interactions with the public and they
Seemed to be much different now than what I am seeing and hearing on the news. I also see the addition of
Responsibilities to the Police force that were not there before. Money, attitude, training and vetting SEEM to be lacking or forgotten somewhere.
What personal experience or
qualifications will you bring to the
Police Review Board?
My father, John Meier, retired Captain of Modesto Police Dept.. Age and watching more and more violence in
Police Depts. And the wish to try and avoid it in our community with communication.
Please share examples of your
community involvement.
Working on Political candidates campaigns, such as Harder, Robertson, Hillary, Biden, Jessica Self. Committee reDistricting city council, Membership Chair CENTRAL VALLEY Democratic Club, letters to the Editor of the Modesto Bee.
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
Whatever it takes. Letter writing, phone calls, town halls and invitations to the public to be at meetings and specifically try to target those in the Police and the public at large to be involved and talk.
Date of Birth 1941
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
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Submission ID: 07bb170a-7bb8-4485-9643-168c2ee733e5 Page 9/9 Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name Diane M. Kroeze
Please Sign File(s) attached:
Executed on: (Date) 01/26/2023
#1..
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Submission ID: 76010369-80d6-4903-ba1b-8dd90cdb9ece Page 1/9 Community Police Review Board Application for Appointment 01/31/2023 11:51 AM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
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Submission ID: 76010369-80d6-4903-ba1b-8dd90cdb9ece Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
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Submission ID: 76010369-80d6-4903-ba1b-8dd90cdb9ece Page 3/9 Name Diane N DeHart
Mailing Address
City Modesto
State CA
Postal Code 95350
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name N/A
Job Title N/A
#1..
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Submission ID: 76010369-80d6-4903-ba1b-8dd90cdb9ece Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
2.5 yrs (prior resident 30 yrs, 1965-1995)
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
No
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
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Submission ID: 76010369-80d6-4903-ba1b-8dd90cdb9ece Page 5/9 References
i. Name
Dianne Dow
Address
Email Address
Phone Number
Relationship
Friend
ii. Name
Jerry Cooper
Address
Email Address
Phone Number
Relationship
Friend
#1..
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Submission ID: 76010369-80d6-4903-ba1b-8dd90cdb9ece Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
White: Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.
Gender Female
Age over 51
#1..
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Submission ID: 76010369-80d6-4903-ba1b-8dd90cdb9ece Page 7/9 Do you have any educational institution information to add? Yes Educational Institution Information
i. Course of Study
Stanford University Primary Care Associate Program (Physician Assistant/Nurse Practitioner) Degree Yes or No?
Yes
Please Describe your Degree
Associate
Do you have any professional
licenses / certificates to add?
No
Please include anything further
you would like to add to your
application regarding your
educational background.
Associate Degree, Nursing, Modesto Jr College; Volunteer Training Program Seattle Police Department Domestic Violence Unit; Volunteer Training Program Domestic Abuse Women's Network, Seattle WA
#1..
- 88 -
Submission ID: 76010369-80d6-4903-ba1b-8dd90cdb9ece Page 8/9 List any organizations or groups
that you belong to or are involved
with:
None currently
Briefly explain your interest in
serving on the Police Review
Board.
Since retirement I have been looking for an opportunity to serve in a voluntary capacity with a group or organization in which I can have some community impact and which fits my areas of interest and experience. It feels like this opportunity meets those desires.
What personal experience or
qualifications will you bring to the
Police Review Board?
I served with the Seattle Police Department as a volunteer in the Domestic Violence Victim Support Team, working with victims in the field throughout the city as referred by sworn officers. This position required extensive training and responsibilities. I also served as a community member on oral board interviews for new and lateral officer applicants. Additionally I volunteered on a crisis line with a domestic violence organization. Professionally I coordinated the Sexual Assault Nurse Examiner (SANE) program through University of Washington.
Please share examples of your
community involvement.
Victim Support Team (VST) and Domestic Abuse Women's Network (as noted above). Locally, when I lived in Modesto before, I worked as a nurse at Memorial Medical Center, Mobile Intensive Care Nurse with AMR and Doctor's Ambulance, and as a flight nurse on the Mediflight helicopter.
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
As a VST volunteer and the SANE coordinator I have direct experience working with officers in a collaborative effort, as well as a bridge between officers and victims/community. As the SANE coordinator I educated nurses and physicians regarding not only sexual assault exam procedures but also how to work with victims. I believe that we will receive appropriate training in the role of the CPRB and am open in learning how to best build needed relationships in this area that is so needed today. I believe I have the qualifications of being professional, compassionate and fair.
Date of Birth 1945
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
#1..
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Submission ID: 76010369-80d6-4903-ba1b-8dd90cdb9ece Page 9/9 Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name Diane N DeHart
Please Sign File(s) attached:
Executed on: (Date) 01/31/2023
#1..
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Submission ID: 9aaba735-9cd3-453d-ac8c-4f011aa6ba77 Page 1/9 Community Police Review Board Application for Appointment 01/03/2023 8:50 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
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Submission ID: 9aaba735-9cd3-453d-ac8c-4f011aa6ba77 Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
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Submission ID: 9aaba735-9cd3-453d-ac8c-4f011aa6ba77 Page 3/9 Name Douglas Keith Highiet
Mailing Address
City Modesto
State California
Postal Code 95354
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name Ceres Pipe & Metal
Job Title President
#1..
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Submission ID: 9aaba735-9cd3-453d-ac8c-4f011aa6ba77 Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
67 years
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
No
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
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Submission ID: 9aaba735-9cd3-453d-ac8c-4f011aa6ba77 Page 5/9 References
i. Name
Chris Murphy
Address
Modesto
Email Address
Phone Number
Relationship
neighbor
ii. Name
Mike Moradian
Address
Modesto
Email Address
Phone Number
Relationship
neighbor
#1..
- 95 -
Submission ID: 9aaba735-9cd3-453d-ac8c-4f011aa6ba77 Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
Other (Not Listed)
Other racial/ethnic category Jewish ethnicity
Gender Male
Age over 51
#1..
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Submission ID: 9aaba735-9cd3-453d-ac8c-4f011aa6ba77 Page 7/9 Do you have any educational institution information to add? No Do you have any professional
licenses / certificates to add?
No
Please include anything further
you would like to add to your
application regarding your
educational background.
Downey High School Class of 1973
2 years Modesto Junior College
#1..
- 97 -
Submission ID: 9aaba735-9cd3-453d-ac8c-4f011aa6ba77 Page 8/9 List any organizations or groups
that you belong to or are involved
with:
A Taste Of La Loma
Congregation Beth Shalom
Gallo Center Board Of Trustees
Briefly explain your interest in
serving on the Police Review
Board.
I am a lifelong resident of Modesto and I would like to contribute my skills to the continued success of the best city on Earth !!!
What personal experience or
qualifications will you bring to the
Police Review Board?
I have been the President of Ceres Pipe & Metal, a successful small family business for 45 years. This experience has taught me the value of fair and honest dealing with employees and customers. I am dedicated to my neighborhood and have organized a weekly potluck during the summer months for over 10 years. I have also organized community forums for my neighborhood with candidates for local office. One of my favorite neighborhood activities is an event that I originated " Kids, Cops cookies and milk ". This involved having all of the neighborhood kids bake treats and snacks that we served during an afternoon shift briefing at the police department.
During my 8 years as President of Congregation Beth Shalom I developed several programs that were constructive and peaceful alternatives to potentially violent confrontations with extremists. I also developed a unique and rewarding friendship with the Islamic Center of Modesto.
Please share examples of your
community involvement.
Probably my most rewarding activity involved a combination of my business, my Synagogue and the Islamic Center of Modesto. This activity will be better explained during my interview but the lesson learned was that hate is taught, and familiarity is the cure.
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
I will visit any neighborhood or organization and suggest joint activities with the MPD that foster better relations
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
#1..
- 98 -
Submission ID: 9aaba735-9cd3-453d-ac8c-4f011aa6ba77 Page 9/9 Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name Douglas Keith Highiet
Please Sign File(s) attached:
Executed on: (Date) 01/03/2023
#1..
- 99 -
Submission ID: d5ea01c0-297c-43c2-8c42-5a05bb124bb0 Page 1/9 Community Police Review Board Application for Appointment 01/13/2023 11:39 AM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
- 100 -
Submission ID: d5ea01c0-297c-43c2-8c42-5a05bb124bb0 Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
- 101 -
Submission ID: d5ea01c0-297c-43c2-8c42-5a05bb124bb0 Page 3/9 Name Eileen VerHulst
Mailing Address
City Modesto
State CA
Postal Code 95350
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name Permanently Disabled
Job Title Veteran
#1..
- 102 -
Submission ID: d5ea01c0-297c-43c2-8c42-5a05bb124bb0 Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
5 years
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
No
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
- 103 -
Submission ID: d5ea01c0-297c-43c2-8c42-5a05bb124bb0 Page 5/9 References
i. Name
Duane VerHulst
Address
Email Address
Phone Number
Relationship
Husband
ii. Name
James VerHulst
Address
Email Address
Phone Number
Relationship
Son
#1..
- 104 -
Submission ID: d5ea01c0-297c-43c2-8c42-5a05bb124bb0 Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
White: Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.
Gender Female
Age over 51
#1..
- 105 -
Submission ID: d5ea01c0-297c-43c2-8c42-5a05bb124bb0 Page 7/9 Do you have any educational institution information to add? Yes Educational Institution Information
i. Course of Study
Medical Office Administrative - Andon College Modesto, CA 1998-1999 - Graduate, Diploma Interior Decorating - International Correspondence School, Scranton, PA - 2004 - Graduate, Diploma Degree Yes or No?
No
Do you have any professional
licenses / certificates to add?
No
Please include anything further
you would like to add to your
application regarding your
educational background.
I joined the United States Army in June 1993 and went on Active Duty until May 1996. Joined the United States Army Reserves in Jan 1998 thru May 2000. I then joined the California Army National Guard in Jun of 2000 and transferred to Army National Guard Active duty from 2003 to 2005. Completed my tour of duty with an ETS date of 25DEC2005. Altogether I have 14 years of military service. #1..
- 106 -
Submission ID: d5ea01c0-297c-43c2-8c42-5a05bb124bb0 Page 8/9 List any organizations or groups
that you belong to or are involved
with:
N/A
Briefly explain your interest in
serving on the Police Review
Board.
I feel that by serving on the Police Review Board i will get a better understanding of the internal working of the Police Department and hope to better understand the daily process. Also, I believe that it will give the community a better opportunity to commmunicate the needs of the community, as a whole.
What personal experience or
qualifications will you bring to the
Police Review Board?
My history of military service helps me understand the feeling of a close knit group of people working as a team to achieve a goal. I hope that not only does the Modesto Police department do that but I hope that the Police review Board can do that as well.
Please share examples of your
community involvement.
I have been a great member of my community. I help with the small things like being neighborly and taking out my neighbors trash to helping a neighbor walk to her car when she has trouble walking. i mow their lawns when needed and they have no lawnmower. I welcome new neighbors to the neighborhood and let them know I am always here to help. When there is a problem I try my best to communicate the issue in a non-aggressive way. When there is an emergency I try my best to offer aid and not get in the way of emergency services.
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
I will let my fellow neighbors know that I am on the Police Review Board and let them know what I do. I will let them know that I am here to listen and provide answers to their questions to the best of my ability. I will share what information I am able to share with them in reference to the latest issues that may arise. I will let them know that my job will allow their voices to be heard.
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
#1..
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Submission ID: d5ea01c0-297c-43c2-8c42-5a05bb124bb0 Page 9/9 Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name Eileen A VerHulst
Please Sign File(s) attached:
Executed on: (Date) 01/13/2023
#1..
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Submission ID: 929d79aa-10ea-464a-9daa-93dc5ff887c5 Page 1/9 Community Police Review Board Application for Appointment 01/31/2023 11:13 AM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
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Submission ID: 929d79aa-10ea-464a-9daa-93dc5ff887c5 Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
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Submission ID: 929d79aa-10ea-464a-9daa-93dc5ff887c5 Page 3/9 Name Frank Damrell
Mailing Address
City Modesto
State CA
Postal Code 95350
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name Peers & Co.
Job Title Director of Government Relations
#1..
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Submission ID: 929d79aa-10ea-464a-9daa-93dc5ff887c5 Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
Continuously since 1995, but was raised in Modesto from 1967-1987.
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
No
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
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Submission ID: 929d79aa-10ea-464a-9daa-93dc5ff887c5 Page 5/9 References
i. Name
Steve Finch
Address
Modesto, CA 95350
Email Address
Phone Number
Relationship
lifetime friend and neighbor
ii. Name
Amarjit Dhaliwal
Address
Modesto, CA 95356
Email Address
Phone Number
Relationship
Friend
#1..
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Submission ID: 929d79aa-10ea-464a-9daa-93dc5ff887c5 Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
White: Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.
Gender Male
Age over 51
#1..
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Submission ID: 929d79aa-10ea-464a-9daa-93dc5ff887c5 Page 7/9 Do you have any educational institution information to add? Yes Educational Institution Information
i. Course of Study
Political Science
Degree Yes or No?
Yes
Please Describe your Degree
Bachelor of Science, Santa Clara University (1984)
Do you have any professional
licenses / certificates to add?
No
Please include anything further
you would like to add to your
application regarding your
educational background.
I previously had a Series 7 Securities license but it expired 20 years ago.
I previously had a Real Estate Agents License but it expired 10 years ago. #1..
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Submission ID: 929d79aa-10ea-464a-9daa-93dc5ff887c5 Page 8/9 List any organizations or groups
that you belong to or are involved
with:
Stanislaus Homeless Advocacy & Resource Enterprise (S.H.A.R.E.) - officer and board member
TeamHydro Foundation board member (research partner of Hydrocephalus Association)
College Area Neighborhood Association (CANA)
Latino Community Roundtable
Briefly explain your interest in
serving on the Police Review
Board.
I have confidence and appreciation for many serving our community in law enforcement, and it concerns me when trust is lost. Trust and understanding is essential. It makes officers safer and the community feels safer. When mistakes are made, it important that the department and the community learn and improve. Communication is essential, and being able to listen, empathize, and reason logically without emotion are critical to mutual respect and cooperation.
The only path forward is together.
What personal experience or
qualifications will you bring to the
Police Review Board?
I have extensive experience with many individuals, neighborhoods and organizations throughout the community as a district representative for a local state legislator, which served to help me develop deeper understanding and appreciation for their concerns and challenges. I have assisted several with mental illness and worked with NAMI to adopt a pilot program in Stanislaus County. I have helped many homeless access benefits. I have worked with law enforcement and health care professionals helping individuals with addiction and recovery. And, I witnessed the legislature working with law enforcement as they navigated realignment, early release, parole board hearings, and sentencing changes under Proposition 47. I believe I am known and trusted by the diverse members of our community, and that is a good foundation for the Police Review Board.
Please share examples of your
community involvement.
Through my efforts on behalf of constituents with severe mental illness and their families, I became involved with NAMI of Stanislaus County. Many of the families were struggling with noncompliant loved ones who denied their mental illness and would not accept treatment. They campaigned for the Stanislaus County Board of Supervisors to adopt Laura's Law (court ordered assisted outpatient treatment) for a segment of the mentally ill that were frequently 5150. I helped the family advocates mobilize a grass roots effort, meet with individual board members, gather support from BHRS leadership and put forward a compelling argument for adoption of a pilot program. I later ran for the Board of Supervisors seat in 2018. While unsuccessful, I did receive 15,510 votes throughout the city.
And, I am proud to say that the nonprofit Stanislaus Homeless Advocacy & Resource Enterprise (S.H.A.R.E.) emerged from volunteers and constituents met during my campaign. I am a co-founder and officer of S.H.A.R.E., which has become a valued partner with Modesto Police Department's CHAT unit.
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
Community outreach is much of what I did for State Senator Cathleen Galgiani, so I know what it entails. the most important part is showing up and being present, listening and building relationships. I prefer to utilize informal dialogue, and not be confrontational. The only agenda I have is perfecting our efforts as a community in policing and public safety so all feel safe and the system is just.
Date of Birth 1962
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement. #1..
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Submission ID: 929d79aa-10ea-464a-9daa-93dc5ff887c5 Page 9/9 Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name Frank Cadmus Damrell, III
Please Sign File(s) attached:
Executed on: (Date) 01/30/2023
#1..
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Submission ID: d3d53f7f-1b52-43e3-8681-5b0e70736bfa Page 1/9 Community Police Review Board Application for Appointment 01/17/2023 9:59 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
- 118 -
Submission ID: d3d53f7f-1b52-43e3-8681-5b0e70736bfa Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
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Submission ID: d3d53f7f-1b52-43e3-8681-5b0e70736bfa Page 3/9 Name James Amato III
Mailing Address
City Modesto
State CA
Postal Code 95355
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name Ontel Security Services, Inc.
Job Title Co-Owner/Business Manager
#1..
- 120 -
Submission ID: d3d53f7f-1b52-43e3-8681-5b0e70736bfa Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
22 Years
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
No
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
- 121 -
Submission ID: d3d53f7f-1b52-43e3-8681-5b0e70736bfa Page 5/9 References
i. Name
Cassie Medeiros
Address
Oakdale, CA 95361
Email Address
Phone Number
Relationship
Friend
ii. Name
Trent Seltzer
Address
Encin tas, CA 92024
Email Address
Phone Number
Relationship
Friend
#1..
- 122 -
Submission ID: d3d53f7f-1b52-43e3-8681-5b0e70736bfa Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
Hispanic or Latino: Persons of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race.
Gender Male
Age 21 to 30
#1..
- 123 -
Submission ID: d3d53f7f-1b52-43e3-8681-5b0e70736bfa Page 7/9 Do you have any educational institution information to add? Yes Educational Institution Information
i. Course of Study
Community College of The Air Force- Avionics Maintenance Communication/Navigation Systems Degree Yes or No?
No
ii. Course of Study
Modesto Junior College- Business Administration
Degree Yes or No?
No
Do you have any professional
licenses / certificates to add?
Yes
Professional Licenses / Certificates
i. Description
Security Officer Guard Card & Exposed Firearm Permit
Date Issued
08/16/2017
ii. Description
Security Officer Exposed Firearm Permit
Date Issued
09/30/2017
iii. Description
US Air Force Basic Training Certificate
Date Issued
10/24/2013
Please include anything further
you would like to add to your
application regarding your
educational background.
-US Air Force Avionics Communication/Navigation Systems Maintenance Training with overseas deployment
-Current California Concealed Carry Permit
-Security Officer Pepper Spray & Expandable Baton Permit -Security Officer training certificates in Report Writing, Handcuffing & Takedown, Defensive Tactics
-CA DOJ Qualified Instructor Certification for Firearm Safety Certificates #1..
- 124 -
Submission ID: d3d53f7f-1b52-43e3-8681-5b0e70736bfa Page 8/9 List any organizations or groups
that you belong to or are involved
with:
Ontel Security Services Inc. Board of Directors
US Military Veteran
Briefly explain your interest in
serving on the Police Review
Board.
Serving on the Police Review Board would be a great way to give back to the community I was born and raised in. Using my skills acquired from the US Air Force, and previous work in Security gives me a keen sense of community within Modesto. I am interested in helping to bridge the relationship between our Police Department and the residents of Modesto as I hold this city dear to my heart and understand the need for a transparent, professional, and efficient police agency.
What personal experience or
qualifications will you bring to the
Police Review Board?
I will bring current board experience serving as a director in Ontel Security’s Board of Directors and the company’s Business Manager. I also bring experience as a US Air Force Veteran, and currently licensed Security Guard working within the city of Modesto and other towns/cities within the metropolitan area.
Please share examples of your
community involvement.
In high school I volunteered for charity and marathon events held within the city of Modesto for various causes such as the Modesto Marathon and Relay for Life. While in the military I did volunteer work for the University of Rutgers representing the US Air Force during multiple events.
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
I work towards building relationships with the public by trying to assimilate the work done by our police department due to my experience in business and security. My business heavily rely’s
on a transparent and reliable police department to ensure safety of my company’s employees. I would work with the public in showing them the role of CPRB and how we can raise the standard of police professionalism and accountability while ensuring proper vetting. The public deserves to be involved with and educated on what is happening within our city with crime and enforcement.
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
#1..
- 125 -
Submission ID: d3d53f7f-1b52-43e3-8681-5b0e70736bfa Page 9/9 Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name James Amato III
Please Sign File(s) attached:
Executed on: (Date) 01/17/2023
#1..
- 126 -
Submission ID: 0912eb31-27d5-401b-9a20-dd6de0bedd95 Page 1/9 Community Police Review Board Application for Appointment 01/30/2023 12:11 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
- 127 -
Submission ID: 0912eb31-27d5-401b-9a20-dd6de0bedd95 Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
- 128 -
Submission ID: 0912eb31-27d5-401b-9a20-dd6de0bedd95 Page 3/9 Name John Aguirre
Mailing Address
City Modesto
State CA
Postal Code 95352
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name Central California 2SLGBTQIA+ Collaborative Job Title CEO
#1..
- 129 -
Submission ID: 0912eb31-27d5-401b-9a20-dd6de0bedd95 Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
12 years
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
No
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
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Submission ID: 0912eb31-27d5-401b-9a20-dd6de0bedd95 Page 5/9 References
i. Name
Vincent Fusco
Address
Email Address
Phone Number
Relationship
Friend
ii. Name
John Black
Address
Email Address
Phone Number
Relationship
Friend/ Buisness colleague
#1..
- 131 -
Submission ID: 0912eb31-27d5-401b-9a20-dd6de0bedd95 Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
Hispanic or Latino: Persons of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race.
Gender Male
Age over 51
#1..
- 132 -
Submission ID: 0912eb31-27d5-401b-9a20-dd6de0bedd95 Page 7/9 Do you have any educational institution information to add? No Do you have any professional
licenses / certificates to add?
No
Please include anything further
you would like to add to your
application regarding your
educational background.
Have some community college and university credits, never completed degree.
School work focused on sociology and buisness.
#1..
- 133 -
Submission ID: 0912eb31-27d5-401b-9a20-dd6de0bedd95 Page 8/9 List any organizations or groups
that you belong to or are involved
with:
California LGBTQ Health and Human Services Network - member California Association of Mental Health Peer Run Organizations - board member Briefly explain your interest in
serving on the Police Review
Board.
I grew up with the message that the police were are friends and were public servants that were meant to help us. I dislike that through the years that message has been lost and now many of our younger people see the police as an enemy, the last persons you will call for help. I understand that there are some police persons that are not a good fit for the job and are a detriment to their organization and the community, but I also understand that many if not most police see their job as a calling and want to serve the community. I think this type of board will help the community help the police be more transparent and support their efforts to evolve into where all the community can see the police as an asset and resource and not the enemy.
What personal experience or
qualifications will you bring to the
Police Review Board?
I have served on two side of the law enforcement community. I have the perspective of being a military policeman in the US Army and the lived experience of being involved as a criminal (will show in background check). I think my experience on various policymaking committees at the local, regional, and state level will serve me well in this effort as I am comfortable working in a committee setting and I have the ability to view matters in an objective light.
Please share examples of your
community involvement.
LGBTQ+ representative on Stanislaus Mental Health Services Act Stakeholder committee
LGBTQ+ representative on Stanislaus BHRS Equity committee LGBTQ+ representative on Stanislaus Continum of Care
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
I think just having an out and proud LGBTQ+ community member on the board will work towards building any strained relationaships you have with the LGBTQ+ community and will show true diversity and equitable representation.
Date of Birth 1963
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
#1..
- 134 -
Submission ID: 0912eb31-27d5-401b-9a20-dd6de0bedd95 Page 9/9 Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name John Aguirre
Please Sign File(s) attached:
Executed on: (Date) 01/30/2023
#1..
- 135 -
Submission ID: 96e0ac28-2840-4017-aeb7-74147bd61196 Page 1/10 Community Police Review Board Application for Appointment 01/28/2023 12:47 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
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Submission ID: 96e0ac28-2840-4017-aeb7-74147bd61196 Page 2/10 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
- 137 -
Submission ID: 96e0ac28-2840-4017-aeb7-74147bd61196 Page 3/10 Name John Bergman
Mailing Address
City Modesto
State CA
Postal Code 95350
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name Building Resources Inc.
Job Title President
#1..
- 138 -
Submission ID: 96e0ac28-2840-4017-aeb7-74147bd61196 Page 4/10 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
50 years
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
Yes
Previous Boards or Commissions
i. Name of Board or Commission
Board of Zoning Adjustment
Start Date
11/07/2023
End Date
01/01/2016
ii. Name of Board or Commission
Board of Building Appeals
Start Date
11/01/2023
End Date
01/28/2023
iii. Name of Board or Commission
Housing Rehabilitation Loan Committee
Start Date
01/01/2021
End Date
01/28/2023
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
#1..
- 139 -
Submission ID: 96e0ac28-2840-4017-aeb7-74147bd61196 Page 5/10 No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No #1..
- 140 -
Submission ID: 96e0ac28-2840-4017-aeb7-74147bd61196 Page 6/10 References
i. Name
Pastor Tom Hammond
Address
Oakdale, CA 95361
Email Address
Phone Number
Relationship
Friend
ii. Name
Juan Paulo Torres
Address
Modesto, CA 95354
Email Address
Phone Number
Relationship
Business Associate
#1..
- 141 -
Submission ID: 96e0ac28-2840-4017-aeb7-74147bd61196 Page 7/10 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
American Indian or Alaska Native: Persons having origins in any of the original peoples of North America and South America (including Central America) and who maintain tribal affiliation or community attachment.
Gender Male
Age over 51
#1..
- 142 -
Submission ID: 96e0ac28-2840-4017-aeb7-74147bd61196 Page 8/10 Do you have any educational institution information to add? Yes Educational Institution Information
i. Course of Study
Fred C Beyer High School Class of 1987
Degree Yes or No?
Yes
Please Describe your Degree
High School Diploma
ii. Course of Study
Modesto Junior College 1987-90
Degree Yes or No?
No
Do you have any professional
licenses / certificates to add?
Yes
Professional Licenses / Certificates
i. Description
Office of Statewide Health Planning and Development Class A Hospital Inspector ii. Description
General Building Contractor B License Contractors State License Board iii. Description
UC Berkeley University Extension Certificate with Distinction in Construction Management #1..
- 143 -
Submission ID: 96e0ac28-2840-4017-aeb7-74147bd61196 Page 9/10 List any organizations or groups
that you belong to or are involved
with:
HOWL for Wildlife, American Bear Foundation
Briefly explain your interest in
serving on the Police Review
Board.
Relations between Law Enforcement and Community are at historic lows, not only in Modesto but throughout the Nation. The Forward Together working group was an exciting first step in setting a new course for Modesto and the CPRB will be an important extension of that work. There is no more important work right now than healing the relationship between the public and law enforcement and having followed the Council adoption of the Forward Together report I felt a strong urge to offer my broad experiences to this Board and Community.
What personal experience or
qualifications will you bring to the
Police Review Board?
Having served on and chaired boards in the private, non-profit and community sectors my greatest contribution have been honesty, integrity, independent decision making and objectivity along with the ability to process complex and often contradictory information.
Please share examples of your
community involvement.
Sherwood Elementary Parent Teacher Club Treasurer, Citizens Bond Oversight Committee Sylvan Union School District, Habitat for Humanity Ruth Sesser Award winner, Salvation Army Red Shield supporter and Construction Manager, Love Modesto participant
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
By being active in this community I have developed deep connections with a broad and diverse network. I will continue to broaden my connections and also educate and inform them about what I have learned about the CPRB and the opportunity it provides for transparency in our community.
Date of Birth 1969
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
#1..
- 144 -
Submission ID: 96e0ac28-2840-4017-aeb7-74147bd61196 Page 10/10 Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name John Bergman
Please Sign File(s) attached:
Executed on: (Date) 01/28/2023
#1..
- 145 -
Submission ID: a71841ef-f207-4d43-93a0-9dc84c4db664 Page 1/9 Community Police Review Board Application for Appointment 01/23/2023 6:04 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
- 146 -
Submission ID: a71841ef-f207-4d43-93a0-9dc84c4db664 Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
- 147 -
Submission ID: a71841ef-f207-4d43-93a0-9dc84c4db664 Page 3/9 Name John Torres
Mailing Address
City MODESTO
State California
Postal Code 95350
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name City Ministry Network
Job Title Director of Community Care
#1..
- 148 -
Submission ID: a71841ef-f207-4d43-93a0-9dc84c4db664 Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
17 years
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
No
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
- 149 -
Submission ID: a71841ef-f207-4d43-93a0-9dc84c4db664 Page 5/9 References
i. Name
Brandon Teeples
Address
Email Address
Phone Number
Relationship
friend
ii. Name
Shawn Torres
Address
Email Address
Phone Number
Relationship
son
#1..
- 150 -
Submission ID: a71841ef-f207-4d43-93a0-9dc84c4db664 Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
Hispanic or Latino: Persons of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race.
Gender Male
Age 31 to 50
#1..
- 151 -
Submission ID: a71841ef-f207-4d43-93a0-9dc84c4db664 Page 7/9 Do you have any educational institution information to add? No Do you have any professional
licenses / certificates to add?
No
#1..
- 152 -
Submission ID: a71841ef-f207-4d43-93a0-9dc84c4db664 Page 8/9 List any organizations or groups
that you belong to or are involved
with:
Metro Rotary
Briefly explain your interest in
serving on the Police Review
Board.
I would like to be helpful to my community and Police force. I believe this will impact both of those.
What personal experience or
qualifications will you bring to the
Police Review Board?
I do a lot of community work and also leadership development. I believe that I can be a great bridge for our officers and our community Please share examples of your
community involvement.
I am a part of a local non-profit that helps build relationships and trust in the community. I am a part of multip;e community gatherings that do just that.
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
I will be able to speak to what we do as a group with many community partners and organizations
Date of Birth 2022
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name John Torres
#1..
- 153 -
Submission ID: a71841ef-f207-4d43-93a0-9dc84c4db664 Page 9/9 Please Sign File(s) attached:
Executed on: (Date) 01/23/2023
#1..
- 154 -
Submission ID: 7042a702-2cd5-4549-b8ce-a1ff3e2940fb Page 1/9 Community Police Review Board Application for Appointment 01/30/2023 4:33 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
- 155 -
Submission ID: 7042a702-2cd5-4549-b8ce-a1ff3e2940fb Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
- 156 -
Submission ID: 7042a702-2cd5-4549-b8ce-a1ff3e2940fb Page 3/9 Name Joseph Pratt-Majesky
Mailing Address
City Modesto
State California
Postal Code 95355
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name Retired United States Army, Landlord Job Title Forward Observer, Landlord
#1..
- 157 -
Submission ID: 7042a702-2cd5-4549-b8ce-a1ff3e2940fb Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
11 years
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
No
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
- 158 -
Submission ID: 7042a702-2cd5-4549-b8ce-a1ff3e2940fb Page 5/9 References
i. Name
Karina Pratt-Majesky
Address
Modesto CA, 95355
Email Address
Phone Number
Relationship
Colleague, Wife
ii. Name
Patricia Velez
Address
Riverbank CA, 95367
Email Address
Phone Number
Relationship
Sister in-law, Nurse in Modesto
#1..
- 159 -
Submission ID: 7042a702-2cd5-4549-b8ce-a1ff3e2940fb Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
White: Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.
Gender Male
Age 31 to 50
#1..
- 160 -
Submission ID: 7042a702-2cd5-4549-b8ce-a1ff3e2940fb Page 7/9 Do you have any educational institution information to add? Yes Educational Institution Information
i. Course of Study
Modesto Jr College
Geneal education
Degree Yes or No?
No
Do you have any professional
licenses / certificates to add?
No
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Submission ID: 7042a702-2cd5-4549-b8ce-a1ff3e2940fb Page 8/9 List any organizations or groups
that you belong to or are involved
with:
I attend veteran events but I'm not a member of any organizations.
Briefly explain your interest in
serving on the Police Review
Board.
I believe in checks and balances and I think that is one of the reasons why this country is so great.
I want to protect the truth, Whether that's protecting the police from false allegations or protecting citizens from tyranny.
What personal experience or
qualifications will you bring to the
Police Review Board?
I am a combat veteran of both Iraq and Afghanistan. Received a purple heart for wounds received in combat. I can understand the process of making tough decisions in a very stressful
situations.
I pride myself on being unbiased and
consider it to be one of my strong suits. I believe in the United States of America and the Constitution on which it was founded.
I was a police explorer when I was young. I think that would allow me to understand police culture, tactics and procedures more than the average citizen.
Also, I grew up in a low income neighborhood that allows me to have empathy for the less fortuneit and understand how a gang can control a neighborhood etc.
I have thousands of hours reviewing Police involve shooting/events and self defense shootings.
Please share examples of your
community involvement.
Trash removal from parks and hiking trails.
I love modesto events.
Veteran events.
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
I would listen to concerns of the public and share decision-making processes.
Date of Birth 1988
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
#1..
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Submission ID: 7042a702-2cd5-4549-b8ce-a1ff3e2940fb Page 9/9 Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name Joseph Pratt-Majesky
Please Sign File(s) attached:
Executed on: (Date) 01/30/2023
#1..
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Submission ID: 099fdc02-a786-42a6-800d-9917dfa97e67 Page 1/11 Community Police Review Board Application for Appointment 01/26/2023 3:02 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
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Submission ID: 099fdc02-a786-42a6-800d-9917dfa97e67 Page 2/11 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
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Submission ID: 099fdc02-a786-42a6-800d-9917dfa97e67 Page 3/11 Name Julie B Nelson
Mailing Address
City Modesto
State CA
Postal Code 95355
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name Retired
Job Title Elementary School Teacher (now retired)
#1..
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Submission ID: 099fdc02-a786-42a6-800d-9917dfa97e67 Page 4/11 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
50+ years
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
No
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
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Submission ID: 099fdc02-a786-42a6-800d-9917dfa97e67 Page 5/11 References
i. Name
Mary Ann Sanders
Address
Modesto, CA 95350
Email Address
Phone Number
Relationship
former principal/boss & now acquaintence
ii. Name
John Bos
Address
Modesto, CA 95355
Email Address
Phone Number
Relationship
former boss & now personal acquaintence
#1..
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Submission ID: 099fdc02-a786-42a6-800d-9917dfa97e67 Page 6/11 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
White: Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.
Gender Female
Age over 51
#1..
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Submission ID: 099fdc02-a786-42a6-800d-9917dfa97e67 Page 7/11 Do you have any educational institution information to add? Yes Educational Institution Information
i. Course of Study
1) SAN FRANCISCO STATE UNIVERSITY; Elementary Education 2) CSU FRESNO; Sociology and Women's (Gender) Studies
3) MODESTO JUNIOR COLLEGE; Liberal Arts
4) STANISLAUS COUNTY OFFICE OF EDUCATION (SCOE); Modesto, CA Degree Yes or No?
Yes
Please Describe your Degree
1) SAN FRANCISCO STATE UNIVERSITY ~ Teaching Coursework Curriculum and Credential (*see certificate area below)
2) CSU FRESNO ~ Bachelor of Arts in Sociology (major) and Women's Studies (minor) 3) MODESTO JUNIOR COLLEGE ~ Associate of Arts in Liberal Studies (major) 4) STANISLAUS COUNTY OFFICE OF EDUCATION/SCOE ~ ongoing professional coursework (**see certificate area below)
for teaching English Language Learner students
ii. Course of Study
1) SAN FRANCISCO STATE UNIVERSITY ~ Post B. A. elementary education coursework for teachers, credential studies, student
teaching (**see certificate area below)
2) CSU FRESNO ~ Bachelor of Arts in Sociology (major):
Coursework in society relationships, cultural diversity, social psychology, statistics, deviance, criminology, sociological
theory, independent study volunteer counselor with Marjorie Mason Center (battered women's safe house) in Fresno, played
intercollegiate tennis two years (balanced academics/athletics) Women's Studies (minor):
Coursework in gender equity, racial and women's legal rights, women's health, societal bias, women in history, community
and workplace discrimination and attitudes, sexual roles, stereotypes, cultural bias/inequities, independent study researcher
for Title IX compliance at CSU Fresno
3) MODESTO JUNIOR COLLEGE ~ Associate of Arts in Liberal Studies:
Coursework across all breadth areas: Language Arts, Social Sciences, Physical Sciences; Mathematics, History, Psychology,
Music, German, Physical Education, Health, played intercollegiate tennis two years (balanced academics/athletics)
4) STANISLAUS COUNTY OFFICE OF EDUCATION/SCOE: SDAIE coursework for teaching English Language Learners (training
for current professional educators)
Degree Yes or No?
No
#1..
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Submission ID: 099fdc02-a786-42a6-800d-9917dfa97e67 Page 8/11 Do you have any professional
licenses / certificates to add?
Yes
Professional Licenses / Certificates
i. Description
* State of California Multiple Subjects Clear Teaching Credential Date Issued
08/27/1985
ii. Description
**SDAIE Certificate
Date Issued
11/15/1996
iii. Description
***Lifetime Athletic Coaching Certificate
Date Issued
01/19/2007
Please include anything further
you would like to add to your
application regarding your
educational background.
My teaching credential is current, and has been renewed every five years earning it in 1985. SDAIE Certification date is approximate.
I earned the Coaching Certificate from Modesto City Schools, for coaching Beyer High School's girls tennis team.
#1..
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Submission ID: 099fdc02-a786-42a6-800d-9917dfa97e67 Page 9/11 List any organizations or groups
that you belong to or are involved
with:
* Neighborhood Watch Volunteer (co-chair for our street) * Alzheimer's Association Volunteer
* Boys & Girls Clubs of Stanislaus County Volunteer(2016-2017) * St. Joseph's Church
* Beyer High School Track & Field (Modesto City Schools) Volunteer * Sylvan Union School District Volunteer (until COVID hit) *
Briefly explain your interest in
serving on the Police Review
Board.
I am passionate about implementing plans that help bridge any gaps (real and perceived) between the MPD and our citizens. I'd like to ensure that community members voices are heard, rights are respected, that complaints/conflicts are taken seriously, and that the MPD is held to high standards of accountability and transparency. I feel I'd contribute positive & independent perspectives on the board, improve rapport/relationships between citizens and the MPD, and be a valuable asset to the team. This volunteer civic position keeps me actively involved in improving our community--through actions and words there can be improvement with a ripple effect, like a pebble plunked in a pond.
What personal experience or
qualifications will you bring to the
Police Review Board?
My many decades of experience teaching, living, working, and volunteering in our community has given me intimate experiences and knowledge of Modesto's inhabitants, families, and "local cultures". I've worked with all socio-economic groups, immigrant families, special needs & intelligences, ethnic, religious, and non-English speaking families. I have empathy, compassion, weigh facts carefully, and think independently. Since retiring in 2015, I've been involved with the public and families from all backgrounds working for Dutch Hollow Farms; volunteered for Boys & Girls Club's after school program at Sylvan Elementary (was awarded BGC's "Volunteer of the Year"); volunteered to teach English at St. Joseph's Church to fellow adult parishioners; connected with businesses and citizens through major fundraising for Alzheimer's Association's " The Longest Day" and "Walk to End Alzheimers" events. Prior to teaching, I worked as a Job Placement Counselor for East Palo Alto's Youth Employment Program (placing socio-economic challenged, ethnic minority high schoolers deemed "high risk" into summer jobs). As a Board Member, I'd offer a "local's" perspective. I've lived in Modesto since 1963--attended Beard Elementary, Roosevelt Jr. High, Grace Davis High, and Modesto Junior College; got my first jobs in high school (teaching tennis at the SOS Club) and cashiering in McHenry Village. My husband and I raised our children here, and I continue to love (and stay involved with) our ever-changing community.
Please share examples of your
community involvement.
* Volunteer for Beyer High School Track & Field Team--scorekeeper (7 years now)
* Implemented major fundraisers for Alzheimers Association--such as "Cars, Crafts, and Community for the Cure"
and "Splash BBQ for the Cure"
* Boys and Girls Clubs -- worked tutoring children, designed/sewed costumes and assisted in the production for their musical
"Wizard of Oz"; worked on trying to bring a tennis program to the BGC * Neighborhood Watch--our street's co-chair, implemented it on our street, annual Nation Night Out, updating neighbor directories) * Dutch Hollow Farms--coordinator, curriculum design and mentor teacher/lead for school & community field trips, pumpkin sales,
and formed/ran their Kids Club agricultural programs
* St. Joseph's Church--taught English to adult parishioners *Civil service on several juries in Municipal, Superior, and Federal Courts Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
ENGAGING IN COMMUNITY OUTREACH:
The Board would need to identify and target key populations most in need of building relationships (being heard, served, listened to, and to educate), with collecting input from Modesto citizens and the MPD. I'd help create an overarching plan with just a few realistic OUTREACH goals to BEGIN...then build on successful growth. The public needs a Board whose members reflect trustworthiness, consistency, reliability, accountability, conduct fact-finding, are #1..
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Submission ID: 099fdc02-a786-42a6-800d-9917dfa97e67 Page 10/11 with the public to educate them
about the role of the CPRB.
open-minded and non-judgmental--who also will impart knowledge and educate the public about regulations & laws, and the role of the CPRB. There needs to be a sense of inclusion, healing & humanity that acknowledges the complexities of social and public situations and conflicts, to build relationships.
ACTIVITIES EDUCATING THE PUBLIC ABOUT MPD & EXAMPLES HOW I'D WORK TO BUILD RELATIONSHIPS:
Raising awareness, educating, building trust, and strengthening relationships between citizens and the MPD begins with discovering events/activities that will interest the key people/populations we're targeting, to actually participate ("buyin"). In my teaching profession, for example, when hosting educational parent workshops targeting our non-English speaking, special needs, and at-risk household families, we had significantly increased response rates & participation rates, by offering incentives and overcoming barriers. How?? By providing free food, free child care, interpreters, and convenient family-friendly hours...important to these
sub-populations. To start, if I become a board member, I'd utilize my personal community connections who work as counselors in addiction, homelessness, and education--then find targeted populations on the streets, at shelters, soup kitchens, schools, mental health facilities, ERs, etc. I'd encourage other Board Members, MPD officers, urban city and county resources to share their connections as well. By combining resources, ideas, and connections collectively, we can use forums (that have incentives and lessen barriers) to educate, and listen to, citizens about the CPRB--and make a huge impact! Then assign qualified folks to hit the streets/make phone calls/build connections, collect data and needs, and create dialogue that is "meaty" and meaningful. A Community Service Officer, or member of the newly-created Board could be moderator or liaison. Another thought would be to create flyers about the existence and role of the CPRB, that could be distributed to schools and businesses throughout our city.
EXAMPLE ISSUE: HOMELESSNESS / THE UNHOUSED
It could be cliche-sounding meetings with a moderator (such as a Community Service Officer) at "Talks and Socks in the Park", or "Donuts and Discussions", where homeless citizens' concerns get shared and validated, then the moderator educates them about the role of CPRB--followed up afterward by a reward (of donated items or grant money used) such as socks or donuts. It needs to be interactive and hands-on, not citizens just passively listening.
Maybe a safe dialogue meeting at a local neighborhood church hall could happen, with a goal of sharing the role of the CPRB and also MPD local resources, ordinances, regulations, and laws...while simultaneously collecting verbal concerns of citizens at that same meeting (perhaps charted by a moderator onto diagrams, to be addressed later by the Board and MPD).
Ask/survey what THEY need/want (not what we think they need). To start, I'd utilize my personal community connections who work as counselors in addiction, homelessness, and education--then find targeted populations on the streets, at shelters, soup kitchens, mental health facilities, ER, etc. I'd encourage other Board Members, MPD officers, urban city and county resources to share their connections as well. By combining resources, ideas, connections, we can use forums to educate, and listen to, citizens about the CPRB collectively--and make a huge impact! Then the MPD (or other appropriate entity) could assign qualified folks to hit the streets/make phone calls/build connections, collect data and needs, and create dialogue that is "meaty" and meaningful to the unhoused citizens. A Community Service Officer, or member of the newly-created Board could be a potential moderator or liaison.
EXAMPLE ISSUE: OFFICER INVOLVED ALTERCATIONS
I believe people often seek answers and draw conclusions without knowing all the facts. Perhaps there can be a hotline set up with anonymity for a platform to initiate contact to the Board for problems/concerns after a controversial MPD event/incident. Or set up a 'safe harbor' type discussion platform (via email, or in-person at a park, school, MPR, church hall, local neighborhood event such as National Night Out), where the MPD can facilitate discussions and the public can express concerns, question methods and procedures, and know their thoughts are being written down and acknowledged. The moderator would then have the #1..
- 173 -
Submission ID: 099fdc02-a786-42a6-800d-9917dfa97e67 Page 11/11 opportunity to share about the existence and role of the CPRB. As a 'regular citizen', I'd love to see a resource I could contact (email, phone, meeting place) to share when I see or experience something disturbing. I'd appreciate being educated about the existence (and the role) of the CPRB. This would create a key opportunity for the MPD moderator to educate the public about the CPRB and its role. There is a MPR "PR" spokesperson who imparts and disperses information, but it is one-way communication and not interactive. Interaction is key to building two-way relationships.
Date of Birth 023
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name Julie Nelson
Please Sign File(s) attached:
Executed on: (Date) 01/26/2023
#1..
- 174 -
Submission ID: a68c4b6a-00e0-4a85-8a29-31a6cea4fce6 Page 1/9 Community Police Review Board Application for Appointment 01/30/2023 4:00 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
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Submission ID: a68c4b6a-00e0-4a85-8a29-31a6cea4fce6 Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
- 176 -
Submission ID: a68c4b6a-00e0-4a85-8a29-31a6cea4fce6 Page 3/9 Name Julie
Mailing Address
City Modesto
State Ca
Postal Code 95355
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name Stanislaus county Behavioral health and recovery services Job Title Mental health clinician
#1..
- 177 -
Submission ID: a68c4b6a-00e0-4a85-8a29-31a6cea4fce6 Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
21 years
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
No
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
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Submission ID: a68c4b6a-00e0-4a85-8a29-31a6cea4fce6 Page 5/9 References
i. Name
Lacey West
Address
Turlock, ca
Email Address
Phone Number
Relationship
Supervisor
ii. Name
Sofie pettygrove
Address
Modesto, ca
Email Address
Phone Number
Relationship
Friend
#1..
- 179 -
Submission ID: a68c4b6a-00e0-4a85-8a29-31a6cea4fce6 Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
White: Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.
Gender Female
Age 31 to 50
#1..
- 180 -
Submission ID: a68c4b6a-00e0-4a85-8a29-31a6cea4fce6 Page 7/9 Do you have any educational institution information to add? Yes Educational Institution Information
i. Course of Study
Master of science in psychology
Degree Yes or No?
Yes
Please Describe your Degree
Marriage and family therapy
Do you have any professional
licenses / certificates to add?
Yes
Professional Licenses / Certificates
i. Description
Licensed marriage and family therapist
Date Issued
11/14/2019
#1..
- 181 -
Submission ID: a68c4b6a-00e0-4a85-8a29-31a6cea4fce6 Page 8/9 List any organizations or groups
that you belong to or are involved
with:
I am located at the family justice center, providing mental health services to minor victims of abuse after they complete their forensic interview. I am also 5150 certified.
Briefly explain your interest in
serving on the Police Review
Board.
I would like to help in creating a stronger alliance between the community and those who protect us. With all the division in the US today, it's important that we stand together.
What personal experience or
qualifications will you bring to the
Police Review Board?
I believe my mental health background can provide different perspectives and ideas to improve relationships.
Please share examples of your
community involvement.
I work with abused youth through the caire center and I am a volunteer for the CERT team through the Sheriff's office and OES.
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
I believe my access to the community, will open the door of opportunity to share about CPRB.
Date of Birth 1983
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name Julie Key
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Submission ID: a68c4b6a-00e0-4a85-8a29-31a6cea4fce6 Page 9/9 Please Sign File(s) attached:
Executed on: (Date) 01/30/2023
#1..
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Submission ID: 0a9600a7-a504-4e83-a3bf-66bed278ce62 Page 1/9 Community Police Review Board Application for Appointment 01/25/2023 12:25 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
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Submission ID: 0a9600a7-a504-4e83-a3bf-66bed278ce62 Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
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Submission ID: 0a9600a7-a504-4e83-a3bf-66bed278ce62 Page 3/9 Name Kenneth S Bryant
Mailing Address
City Modesto
State California
Postal Code 95354
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name Retired
Job Title NA
#1..
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Submission ID: 0a9600a7-a504-4e83-a3bf-66bed278ce62 Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
45 years
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
No
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
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Submission ID: 0a9600a7-a504-4e83-a3bf-66bed278ce62 Page 5/9 References
i. Name
Greg Rhodes
Address
Modesto, CA 95350
Email Address
Phone Number
Relationship
Friend/Financial Advisor
ii. Name
Dennis Thomas
Address
Modesto, CA 95350
Email Address
Phone Number
Relationship
Friend/Agent
#1..
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Submission ID: 0a9600a7-a504-4e83-a3bf-66bed278ce62 Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
White: Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.
Gender Male
Age over 51
#1..
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Submission ID: 0a9600a7-a504-4e83-a3bf-66bed278ce62 Page 7/9 Do you have any educational institution information to add? No Do you have any professional
licenses / certificates to add?
No
#1..
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Submission ID: 0a9600a7-a504-4e83-a3bf-66bed278ce62 Page 8/9 List any organizations or groups
that you belong to or are involved
with:
Member of the Board of Directors, McHenry Museum and Historical Society Briefly explain your interest in
serving on the Police Review
Board.
My interest in serving is based on my 3 decades experience in the fire service and my observations of law enforcement actions in both emergency and non emergency settings. I firmly believe that all community members should be treated with the appropriate respect due them dependent on the circumstances presented.
I believe my experience/observations would be of value as a member of the Review Board.
What personal experience or
qualifications will you bring to the
Police Review Board?
See the previous response. Additionally my most recent fire service duties were as a Battalion Chief/Incident Commander which gave me a unique opportunity to observe law enforcement actions.
Please share examples of your
community involvement.
Past President of the Bel Passi youth baseball program.
Past member of the Modesto Jaycees.
Past President of the Modesto City Firefighters Association.
Past Chairperson of the California Professional Firefighters Insurance Trust.
Current member of the McHenry Museum and Historical Society Board of Directors.
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
Attending community events throughout the City and engaging members of various groups/neighborhoods in conversations regarding their experience and interaction with the police in their neighborhoods. Through these opportunities conveying and informing folks as to the mission and responsibility of the Review Board and encouraging their involvement in the process.
Date of Birth 1945
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
#1..
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Submission ID: 0a9600a7-a504-4e83-a3bf-66bed278ce62 Page 9/9 Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name Kenneth S Bryant
Please Sign File(s) attached:
Executed on: (Date) 01/25/2023
#1..
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Submission ID: d8a0f7ca-37fe-486d-922d-5e237296ae4e Page 1/9 Community Police Review Board Application for Appointment 01/24/2023 12:20 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
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Submission ID: d8a0f7ca-37fe-486d-922d-5e237296ae4e Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
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Submission ID: d8a0f7ca-37fe-486d-922d-5e237296ae4e Page 3/9 Name Kyle Ford
Mailing Address
City Modesto
State Ca
Postal Code 95350
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name City of Patterson
Job Title Information Technology Manager
#1..
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Submission ID: d8a0f7ca-37fe-486d-922d-5e237296ae4e Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
4 years
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
Yes
Previous Boards or Commissions
i. Name of Board or Commission
Housing Rehabilitation Loan Committee
Start Date
07/01/2021
End Date
04/30/2025
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
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Submission ID: d8a0f7ca-37fe-486d-922d-5e237296ae4e Page 5/9 References
i. Name
Ray Hickman
Address
Email Address
Phone Number
Relationship
Friend
ii. Name
David Boring
Address
Phone Number
Relationship
Neighbor
#1..
- 197 -
Submission ID: d8a0f7ca-37fe-486d-922d-5e237296ae4e Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
White: Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.
Gender Male
Age 31 to 50
#1..
- 198 -
Submission ID: d8a0f7ca-37fe-486d-922d-5e237296ae4e Page 7/9 Do you have any educational institution information to add? Yes Educational Institution Information
i. Course of Study
Business Management & Business Administration
Degree Yes or No?
Yes
Please Describe your Degree
From Western Governors University I earned a Bachelor of Science in Business Management in 2010 and a MBA in 2016.
Do you have any professional
licenses / certificates to add?
No
Please include anything further
you would like to add to your
application regarding your
educational background.
When I lived in Merced I participated in the Merced Police Department Citizens Academy and I found it to be extremely educational.
#1..
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Submission ID: d8a0f7ca-37fe-486d-922d-5e237296ae4e Page 8/9 List any organizations or groups
that you belong to or are involved
with:
None at this time
Briefly explain your interest in
serving on the Police Review
Board.
I feel that the Police Review Board is a good thing for our community to have, but you need to have the right people on it. I feel that I would bring a fair and open minded perspective to the Police Review Board without a preconceived judgement one way or another. I feel that as citizens of our community we should all do something to give back and I feel that this is just my way to do a little something to make Modesto a little better.
What personal experience or
qualifications will you bring to the
Police Review Board?
As a long time government employee I have a good understanding of how the City of Modesto is required to follow the rules, regulations, and procedures put on them. This seems lost on many people. As an I.T. professional I have a tendency to look at things in a very logical way. I want to look at the data and come to a conclusion based off that data and try my best to leave the emotions out of it. We are all humans and sometime remove the emotions can be difficult, but it should at least be a goal.
Please share examples of your
community involvement.
When I lived in Merced I sat on the Merced County Associations of Government Citizen Advisory Committee and the Measure S Committee for the Merced City School District. I apologize, I don't have those date in front of me but I can get them if needed. I am also a long time Platelet and blood doner. I believe I am around 35 gallons between Blood Source and the American Red Cross. When I worked for the Merced Irrigation District I was the blood drive coordinator for them. Once I got settled in Modesto I then was appointed to the Housing Rehabilitation Loan Committee.
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
I don't know if I have a really good answer for this question. When I worked for the Merced Irrigation District as the Business Development Representative I did a fair amount of community outreach as part of my job. I would go to schools to promote electric safety and we would go to community events to promote the Electric Services Department so I am comfortable with doing community outreach, I am just not exactly sure how I would do it with this role. I guess I would start by letting all of my family and friends know that I am on this board and that I would welcome their feedback and input. From there I would have to think about it.
Date of Birth 1974
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
#1..
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Submission ID: d8a0f7ca-37fe-486d-922d-5e237296ae4e Page 9/9 Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name Kyle K Ford
Please Sign File(s) attached:
Executed on: (Date) 01/24/2023
#1..
- 201 -
Submission ID: 786108b1-a82e-44ab-a726-0768675feeb5 Page 1/9 Community Police Review Board Application for Appointment 01/27/2023 8:04 AM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
- 202 -
Submission ID: 786108b1-a82e-44ab-a726-0768675feeb5 Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
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Submission ID: 786108b1-a82e-44ab-a726-0768675feeb5 Page 3/9 Name Lara Dirks
Mailing Address
City Modesto
State CA
Postal Code 95333
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name Univeristy of Massachusetts Global Job Title Adjunct Professor in the Master's Program for LMFT #1..
- 204 -
Submission ID: 786108b1-a82e-44ab-a726-0768675feeb5 Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
49 years
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
No
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
- 205 -
Submission ID: 786108b1-a82e-44ab-a726-0768675feeb5 Page 5/9 References
i. Name
Ryan Lehikainen, Deputy Sheriff Stanislaus County
Address
Modesto, CA 95355
Email Address
Phone Number
Relationship
Friend
ii. Name
Aaron Kinerson
Address
Email Address
Phone Number
Relationship
Co-worker from my time working at SCOE in a special day class with emotionally disturbed children. #1..
- 206 -
Submission ID: 786108b1-a82e-44ab-a726-0768675feeb5 Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
White: Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.
Gender Female
Age 31 to 50
#1..
- 207 -
Submission ID: 786108b1-a82e-44ab-a726-0768675feeb5 Page 7/9 Do you have any educational institution information to add? Yes Educational Institution Information
i. Course of Study
B.S. Human Services
M.A. Marriage and Family Therapy
Degree Yes or No?
Yes
Please Describe your Degree
I have my Master's degree in Marriage and Family Therapy Do you have any professional
licenses / certificates to add?
Yes
Professional Licenses / Certificates
i. Description
Licensed Marriage and Family Therapist
Date Issued
02/08/2011
Please include anything further
you would like to add to your
application regarding your
educational background.
When I worked for Stanislaus County, Behavioral Health and Recovery Services on the Community Emergency Response Team I had the opportunity to ride along with MPD and respond to mental health emergencies.
I worked for American Medical Response as an Emergency Medical Technician from August 1998- July 2006.
#1..
- 208 -
Submission ID: 786108b1-a82e-44ab-a726-0768675feeb5 Page 8/9 List any organizations or groups
that you belong to or are involved
with:
The Church of Jesus Christ of Latter Day Saints
California Association of Marriage and Family Therapy
Gallo Center Repertory Company
University of Massachusetts Global
Path Mental Health
Briefly explain your interest in
serving on the Police Review
Board.
I feel police work is crucial to the health and safety of our community and I want to help create the best outcomes for our citizens and for the officers themselves.
What personal experience or
qualifications will you bring to the
Police Review Board?
I had the opportunity to work in our Emergency Medical Services system at the beginning of my career so I have a deep understanding of what it is like to respond to crises in the community. I also am a licensed Marriage and Family Therapist that and I have also worked with crisis patients when I was an employee at our Behavioral Health and Recovery Services (BHRS) on the Community Emergency Response Team. I also helped develop some of the training material and was an instructor of that material for BHRS. I am currently a private practice clinician who works with a wide range invidious struggling with mental illness and I am an adjunct professor for U-Mass Global in the graduate program for Marriage and Family Therapy. I spend a lot of time thinking about and helping clients and students understand how our systems of care works for both providers and consumers. I feel that I understand both sides of this equation and want to help bring about the best outcomes possible for everyone.
Please share examples of your
community involvement.
I am an active member in the Church of Jesus Christ of Latter-Day Saints and I have had a wide variety of volunteer experience and I am currently the Singing Time leader for children ages 18 months to 12 years. I have had the opportunity to be in 15 local theatrical production and I was the assistant stage manager for the Gallo Rep.'s production of To Kill a Mocking Bird. I have been a group leader for Love Modesto and participated in multiple sporting and leisure activities throughout our county. I have worked and lived in Modesto since I was 4 months old and I love my home and want to make it better for all who live and visit here.
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
I have put on many mental health trainings especially focussed on basic neuroscience for both educators and the public. I am currently an adjunct professor and I have excellent presentation and communication skills. In the past I also taught group exercise class to people from all walks of life. I have a calming presence that makes communication of all kinds easier. I was a Field Training Officer at AMR Modesto and trained EMTs to respond to 911 and nonemergency calls for service.
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
#1..
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Submission ID: 786108b1-a82e-44ab-a726-0768675feeb5 Page 9/9 Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name Lara Michelle Dirks
Please Sign File(s) attached:
Executed on: (Date) 01/26/2023
#1..
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Submission ID: 79832af0-336e-441a-92a7-d8c5c305a9a2 Page 1/9 Community Police Review Board Application for Appointment 01/24/2023 6:08 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
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Submission ID: 79832af0-336e-441a-92a7-d8c5c305a9a2 Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
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Submission ID: 79832af0-336e-441a-92a7-d8c5c305a9a2 Page 3/9 Name Larry Bolton
Mailing Address
City Modesto
State CA
Postal Code 95350
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name Kaiser Permanente
Job Title RN Assistant Manager Adult Clinical Services
#1..
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Submission ID: 79832af0-336e-441a-92a7-d8c5c305a9a2 Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
5 years
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
No
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
- 214 -
Submission ID: 79832af0-336e-441a-92a7-d8c5c305a9a2 Page 5/9 References
i. Name
James Silkensen RN
Address
San Francisco CA 94117
Email Address
Phone Number
Relationship
Supervisor / employer
ii. Name
Naramsen Goriel, Esq.
Address
Modesto CA 95350
Email Address
Phone Number
Relationship
Friend
#1..
- 215 -
Submission ID: 79832af0-336e-441a-92a7-d8c5c305a9a2 Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
White: Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.
Gender Male
Age over 51
#1..
- 216 -
Submission ID: 79832af0-336e-441a-92a7-d8c5c305a9a2 Page 7/9 Do you have any educational institution information to add? Yes Educational Institution Information
i. Course of Study
St. Elizabeth School of Nursing/St. Joseph College
1501 Hartford
Lafayette, IN 47905 graduate with nursing diploma.
Degree Yes or No?
No
Do you have any professional
licenses / certificates to add?
Yes
Professional Licenses / Certificates
i. Description
California RN license 572445
Please include anything further
you would like to add to your
application regarding your
educational background.
Training in critical incident stress debriefing.
Emergency trauma core course, Emergency Nurses association #1..
- 217 -
Submission ID: 79832af0-336e-441a-92a7-d8c5c305a9a2 Page 8/9 List any organizations or groups
that you belong to or are involved
with:
Member, Stanislaus County Behavioral Health Board. Appointed by board of Supervisors to term ending 12/2023.
Past board member, Positive Resource Center, San Francisco, CA. 2011-2017.
PRC provides legal counsel for disability benefits and job training for people with HIV and mental health needs.
Member, Stanislaus County Democratic Party central committee since 2021.
Briefly explain your interest in
serving on the Police Review
Board.
To help facilitate improved communication between police and the community.
To provide our police with unbiased, evidence based protocols and policies. To provide oversight and accountability benefiting police in their daily practice as well as the community they serve.
What personal experience or
qualifications will you bring to the
Police Review Board?
With a background in emergency nursing I have had the opportunity to see many police in action as they diffuse stressful situations. As a long term volunteer in various community groups, I understand the importance of giving a voice to marginalized communities.
Please share examples of your
community involvement.
Please see above .
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
Be professional and respectful to all people. Listen to understand. Speak from a place of knowledge, facts and compassion. Understand the difficult work our police engage them and seek to foster community respect and support.
Date of Birth 1966
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
#1..
- 218 -
Submission ID: 79832af0-336e-441a-92a7-d8c5c305a9a2 Page 9/9 Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name Larry R. Bolton. Jr.
Please Sign File(s) attached:
Executed on: (Date) 01/24/2023
#1..
- 219 -
Submission ID: 08c30cd9-ada9-4237-b9c4-08f96726c6e6 Page 1/9 Community Police Review Board Application for Appointment 01/03/2023 10:40 AM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
- 220 -
Submission ID: 08c30cd9-ada9-4237-b9c4-08f96726c6e6 Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
- 221 -
Submission ID: 08c30cd9-ada9-4237-b9c4-08f96726c6e6 Page 3/9 Name Madison Wingate
Mailing Address
City Modesto
State CA
Postal Code 95355
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name Pacific Bay Equipment
Job Title Accounting Clerk
#1..
- 222 -
Submission ID: 08c30cd9-ada9-4237-b9c4-08f96726c6e6 Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
11+ years
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
No
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
- 223 -
Submission ID: 08c30cd9-ada9-4237-b9c4-08f96726c6e6 Page 5/9 References
i. Name
Jim O'Connell
Address
Modesto, CA 95354
Email Address
Phone Number
Relationship
Employer-President of Pacific Bay Equipment
ii. Name
Terrence Anderson
Address
Modesto, CA 95354
Email Address
Phone Number
Relationship
Employer-VP of Pacific Bay Equipment
#1..
- 224 -
Submission ID: 08c30cd9-ada9-4237-b9c4-08f96726c6e6 Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
White: Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.
Gender Female
Age 21 to 30
#1..
- 225 -
Submission ID: 08c30cd9-ada9-4237-b9c4-08f96726c6e6 Page 7/9 Do you have any educational institution information to add? Yes Educational Institution Information
i. Course of Study
Modesto Junior College
Degree Yes or No?
Yes
Please Describe your Degree
AAT Psychology
AAT Sociology
AA Social & Behavioral Sciences
AA Humanities
ii. Course of Study
CSU Stanislaus
Graduating Spring 2023
Bachelor's in Psychology
Degree Yes or No?
No
Do you have any professional
licenses / certificates to add?
No
#1..
- 226 -
Submission ID: 08c30cd9-ada9-4237-b9c4-08f96726c6e6 Page 8/9 List any organizations or groups
that you belong to or are involved
with:
N/A
Briefly explain your interest in
serving on the Police Review
Board.
Working in downtown Modesto, living here for over 11 years, and studying in my field has increased my awareness and empathy for what our community is going through. I believe I have a fresh perspective, passion, and an open-mind to be part of this board.
What personal experience or
qualifications will you bring to the
Police Review Board?
My husband was briefly employed as an officer, I have some family who are officers, but I also have family who is on the other side voicing their concerns about officers in our community. I also frequently deal with car accidents at my work and am currently in communications with both MPD and the city to develop solutions.
Please share examples of your
community involvement.
Recently reaching out to MPD and the city to voice my concerns about the dangers of our streets.
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
My field and goal in life to become a LMFT is all about relationships. It's about hearing everyone's stories and displaying empathy. I believe we have more in common than we think and I believe it is my job to listen more than anything.
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name Madison Wingate
#1..
- 227 -
Submission ID: 08c30cd9-ada9-4237-b9c4-08f96726c6e6 Page 9/9 Please Sign File(s) attached:
Executed on: (Date) 01/03/2023
#1..
- 228 -
Submission ID: 78f3881f-f6c6-4104-a9cf-25d0e2c45918 Page 1/9 Community Police Review Board Application for Appointment 01/27/2023 9:22 AM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
- 229 -
Submission ID: 78f3881f-f6c6-4104-a9cf-25d0e2c45918 Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
- 230 -
Submission ID: 78f3881f-f6c6-4104-a9cf-25d0e2c45918 Page 3/9 Name Marc Etchebarne
Mailing Address
City Modesto
State CA
Postal Code 95350
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name MA Etchebarne PhD Inc
Job Title Dairy Nutritionist
#1..
- 231 -
Submission ID: 78f3881f-f6c6-4104-a9cf-25d0e2c45918 Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
42 Years
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
No
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
- 232 -
Submission ID: 78f3881f-f6c6-4104-a9cf-25d0e2c45918 Page 5/9 References
i. Name
Terrance Withrow
Address
Modesto, CA 95358
Email Address
Phone Number
Relationship
Board of Supervisor / CPA
ii. Name
Rick Michel
Address
Modesto, CA 95356
Email Address
Phone Number
Relationship
Dairy Owner / Farmer / Friend
#1..
- 233 -
Submission ID: 78f3881f-f6c6-4104-a9cf-25d0e2c45918 Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
White: Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.
Gender Male
Age 31 to 50
#1..
- 234 -
Submission ID: 78f3881f-f6c6-4104-a9cf-25d0e2c45918 Page 7/9 Do you have any educational institution information to add? Yes Educational Institution Information
i. Course of Study
Modesto High School 1998
UC Berkeley 1999-2001
USMC 2003-2008
Colorado State University 2008-2010
Stanislaus County Planning Commission (two 4-year terms) Degree Yes or No?
Yes
Please Describe your Degree
Bachelor in Science - Animal Science
Do you have any professional
licenses / certificates to add?
Yes
Professional Licenses / Certificates
i. Description
American Registry of Professional Animal Scientists - Professional Animal Scientist (P.A.S) Date Issued
08/01/2024
Please include anything further
you would like to add to your
application regarding your
educational background.
22 Units of Continued Education / Year
#1..
- 235 -
Submission ID: 78f3881f-f6c6-4104-a9cf-25d0e2c45918 Page 8/9 List any organizations or groups
that you belong to or are involved
with:
St. Stanislaus Church
Juline Foundation
Modesto Mavericks Swim Team
Briefly explain your interest in
serving on the Police Review
Board.
I believe that there is further transparency needed in the Police sector and there should be individuals who are unbiased to serve along side Modesto Police Department and City of Modesto to help ensure the public can remain informed and receive honest information regrading the services provided.
I also served for 8 years on the Stanislaus County Planning Commission so am quite familiar with government procedures and boards.
I believe that an open and honest approach with keeping the public informed in the dealings of MPD and it's citizens is essential for effective community relations
What personal experience or
qualifications will you bring to the
Police Review Board?
As a veteran of the United States Marine Corps, I was Honorably Discharged in 2008 as a E-5 (Sergeant) and am familiar with the rules and regulations and standard operating procedures of government entities and the lack of knowledge the public sector has with these entities.
Please share examples of your
community involvement.
I am very active in the Catholic Church community serving on various boards including but not limited to the Finance Council, Fall Festival organization, and Parish volunteer opportunities.
I also serve on the Modesto Mavericks Swim team board helping to direct the future of the youth and their athletic futures.
My family is also helping with the future of the Modesto Children's Museum because the youth will be key to the success of our community.
We are active contributors to the Stanislaus Community Foundation which obviously serves countless opportunities to those in our area that are in great need.
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
Again, open and honest communication is the best approach in serving the community. Not all news is good news. Unfortunately, the political climate today does more finger pointing than actual plans to facilitate progress. I believe this board will have the ability to answer questions and create dialogue between the public and the Police in a productive and respectful manner. All should be after the same goal which is a safer and better Modesto.
Date of Birth 980
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
#1..
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Submission ID: 78f3881f-f6c6-4104-a9cf-25d0e2c45918 Page 9/9 Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name Marc Etchebarne
Please Sign File(s) attached:
Executed on: (Date) 01/27/2023
#1..
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Submission ID: ab3aa699-fe16-4cb6-97cf-7f0ccc405429 Page 1/9 Community Police Review Board Application for Appointment 01/31/2023 5:00 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
- 238 -
Submission ID: ab3aa699-fe16-4cb6-97cf-7f0ccc405429 Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
- 239 -
Submission ID: ab3aa699-fe16-4cb6-97cf-7f0ccc405429 Page 3/9 Name Mary Rippetoe
Mailing Address
City Modesto
State CA
Postal Code 95350
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name CASA of Stanislaus County
Job Title Case Manager
#1..
- 240 -
Submission ID: ab3aa699-fe16-4cb6-97cf-7f0ccc405429 Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
9 years
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
No
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
- 241 -
Submission ID: ab3aa699-fe16-4cb6-97cf-7f0ccc405429 Page 5/9 References
i. Name
Cheryl Zaragoza
Address
Modesto, CA 95355
Email Address
Phone Number
Relationship
coworker
ii. Name
Amy Burrow
Address
Modesto, CA 95354
Email Address
Phone Number
Relationship
friend
#1..
- 242 -
Submission ID: ab3aa699-fe16-4cb6-97cf-7f0ccc405429 Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
White: Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.
Gender Female
Age over 51
#1..
- 243 -
Submission ID: ab3aa699-fe16-4cb6-97cf-7f0ccc405429 Page 7/9 Do you have any educational institution information to add? Yes Educational Institution Information
i. Course of Study
Government
Degree Yes or No?
Yes
Please Describe your Degree
BA CSU Sacramento
Do you have any professional
licenses / certificates to add?
No
#1..
- 244 -
Submission ID: ab3aa699-fe16-4cb6-97cf-7f0ccc405429 Page 8/9 List any organizations or groups
that you belong to or are involved
with:
Currently my community involvement is my job with CASA, Court Appointed Special Advocates. I work with a diverse group of volunteers and foster youth from our county.
Briefly explain your interest in
serving on the Police Review
Board.
I think it is very important that the community and the police force have a solid relationship of trust and communication. Across the country there appears to be a very harmful breakdown of that relationship and I would really like to help rebuild that foundation. No one wants to live where they are afraid to call the police or be pulled over by them. At the same time, no one wants a community where the police feel they are unappreciated.
What personal experience or
qualifications will you bring to the
Police Review Board?
Through my work at CASA, I have seen the important work that is done in our community by the police in trying to keep our youth from being neglected or living in harmful situations. I have worked with many children that have had horrible experiences and have also been taught by their caregivers that the police are not trustworthy. It is a broken system. I have experience encouraging many different local organizations to work together to help our youth and underprivileged families improve their outcomes. I am happy to research possible resources to help the youth in dependency, including contacting the DA office's victim advocacy, schools, attorneys, counselors, and social workers. I also write detailed court reports for our dependency hearings to help the courts understand the specific needs of the youth we serve.
Please share examples of your
community involvement.
I am involved directly with our community daily through my work. I have also done some fun activities with helping the Kiwanis with Graffiti Night and information booths for Love Modesto.
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
I am a confident public speaker and would volunteer to man a booth or speak for any community group. I enjoy building relationships with all members of our community.
Date of Birth 1969
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
#1..
- 245 -
Submission ID: ab3aa699-fe16-4cb6-97cf-7f0ccc405429 Page 9/9 Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name Mary Rippetoe
Please Sign File(s) attached:
Executed on: (Date) 01/31/2023
#1..
- 246 -
Submission ID: 6cd07fce-4337-4489-9f54-e8a0f1ea278c Page 1/9 Community Police Review Board Application for Appointment 01/24/2023 8:13 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
- 247 -
Submission ID: 6cd07fce-4337-4489-9f54-e8a0f1ea278c Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
- 248 -
Submission ID: 6cd07fce-4337-4489-9f54-e8a0f1ea278c Page 3/9 Name Matthew Lippert
Mailing Address
City MODESTO
State CA
Postal Code 95350
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name Best Pest Management
Job Title Branch 3 Field Representative
#1..
- 249 -
Submission ID: 6cd07fce-4337-4489-9f54-e8a0f1ea278c Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
36 years
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
Yes
Previous Boards or Commissions
i. Name of Board or Commission
Landmark Preservation Commission
Start Date
01/01/2014
End Date
12/31/2021
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
- 250 -
Submission ID: 6cd07fce-4337-4489-9f54-e8a0f1ea278c Page 5/9 References
i. Name
Anthony DeMatteo
Address
Modesto, Ca 95350
Email Address
Phone Number
Relationship
Employer
ii. Name
Jeff Brown
Address
Modesto, Ca 95354
Phone Number
Relationship
Previous Employer/Friend
#1..
- 251 -
Submission ID: 6cd07fce-4337-4489-9f54-e8a0f1ea278c Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
White: Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.
Gender Male
Age 31 to 50
#1..
- 252 -
Submission ID: 6cd07fce-4337-4489-9f54-e8a0f1ea278c Page 7/9 Do you have any educational institution information to add? Yes Educational Institution Information
i. Course of Study
History
Degree Yes or No?
Yes
Please Describe your Degree
Bachelor of Arts in History from Fresno State
Do you have any professional
licenses / certificates to add?
Yes
Professional Licenses / Certificates
i. Description
Branch 3 Structural Pest Control
Date Issued
12/01/2022
#1..
- 253 -
Submission ID: 6cd07fce-4337-4489-9f54-e8a0f1ea278c Page 8/9 List any organizations or groups
that you belong to or are involved
with:
N/A
Briefly explain your interest in
serving on the Police Review
Board.
Police departments across America have been tasked with many community issues that traditionally have never fallen under the preview of "law enforcement." I believe that Community Oriented Policing is required for the success of a police department and the community they work in. For a department to be successful it needs the full support and trust of its community but the involvement of the citizens is required to support and/or hold the department accountable for its commitment to the community. Modesto's Community Police Review Board is an exciting step for MPD, the City of Modesto and the Modesto community at large and I would like to be involved in the start of this board and be a catalyst of change. I was born and raised in this city, I own a home in this city, my friends and family live in this city, I have known and know officers who worked for MPD and have always respected them as individuals of great integrity and commitment. Those are the types of individuals I know MPD to be and I hope to help foster a relationship between the public so they too can see the great team of individuals working for them at the Modesto Police Department. I want to be part of CPRB to create a better Modesto for everyone who lives, works and plays here!
What personal experience or
qualifications will you bring to the
Police Review Board?
My involvement with the Landmark Preservation Commission has shown me the power of what citizens can and the impact their decisions have on the future of the community. It taught me the importance of hearing all the details pertaining to the situation and keeping an unbiased mind until all pertinent information was delivered and making an educated decision that follows the Bylaws of the board/commission. Although I was paid to do it I have fostered and learned to build relationships with individuals while working as a bartender at Commonwealth. My tenure with that company has allowed me to serve a diverse clientele and learn to connect and build relationships with them to foster a relationship and return business. I am a great public speaker and my ability to connect with individuals will serve me well when working with the public, members of the board and city employees.
Please share examples of your
community involvement.
I was involved with the Landmark Preservation Commission for 8 years. 3-4 of those years I was the Chairman of the commission. I developed a fondness for helping the community I live in and have been looking for another opportunity to join and create an impact in the city I live in.
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
This is going to be a new board that the community has never heard of so getting the name out and the information to them is key. Once the staff/board members receive their 20-40 hour training, the code of ethics training and a thorough understanding of the bylaws and mission of this board it is time to get a grass roots movement of talking to the public face to face with the ability to shake a hand and have a human listen to concerns. I would like to see flyers sent out in the City of Modesto's utility billing envelop that notifies people the CPRB exists and it would like to come give presentations to any and all groups willing to listen (i.e. civil rights organizations, religious institutes, schools/college campus', non-profits).
Date of Birth 1986
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement. #1..
- 254 -
Submission ID: 6cd07fce-4337-4489-9f54-e8a0f1ea278c Page 9/9 Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name Matthew Lippert
Please Sign File(s) attached:
Executed on: (Date) 01/24/2023
#1..
- 255 -
Submission ID: b56f2fa0-01a6-44db-b614-93e04fb8e326 Page 1/9 Community Police Review Board Application for Appointment 01/30/2023 6:25 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
- 256 -
Submission ID: b56f2fa0-01a6-44db-b614-93e04fb8e326 Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
- 257 -
Submission ID: b56f2fa0-01a6-44db-b614-93e04fb8e326 Page 3/9 Name Michael Hart
Mailing Address
City Modesto
State CA
Postal Code 95354
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name Retired CALPERS/ Volunteer City of Modesto P&R Job Title Retired
#1..
- 258 -
Submission ID: b56f2fa0-01a6-44db-b614-93e04fb8e326 Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
I have lived here one year however I have lived in Modesto 38 years total Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
No
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
- 259 -
Submission ID: b56f2fa0-01a6-44db-b614-93e04fb8e326 Page 5/9 References
i. Name
Darin Jesberg
Phone Number
Relationship
Fellow volunteer
ii. Name
Dr. Robert Lynch
Address
Riverbank, CA 95367
Phone Number
Relationship
Friend
#1..
- 260 -
Submission ID: b56f2fa0-01a6-44db-b614-93e04fb8e326 Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
Gender Male
Age 31 to 50
#1..
- 261 -
Submission ID: b56f2fa0-01a6-44db-b614-93e04fb8e326 Page 7/9 Do you have any educational institution information to add? Yes Educational Institution Information
i. Course of Study
BA in History from CSU Stanislaus
Degree Yes or No?
Yes
Please Describe your Degree
BA in History
Do you have any professional
licenses / certificates to add?
No
#1..
- 262 -
Submission ID: b56f2fa0-01a6-44db-b614-93e04fb8e326 Page 8/9 List any organizations or groups
that you belong to or are involved
with:
Dry Creek Trails Coalition
Modesto Outdoor Recreation Alliance
Briefly explain your interest in
serving on the Police Review
Board.
I am interested in being involved in our community to make it a safe and happy place to live.
What personal experience or
qualifications will you bring to the
Police Review Board?
I volunteer with our city parks department to help keep Dry Creek Regional Park clean and safe.
Please share examples of your
community involvement.
I've removed over 6000 pounds of teash from Dry Creek in the last year.
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
I interact with the public daily while patrolling our Dry Creek Trail. Many citizens choose to report problems to me instead of using the GoModesto! App, especially older citizens.
Date of Birth 1973
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name Michael Hart
#1..
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Submission ID: b56f2fa0-01a6-44db-b614-93e04fb8e326 Page 9/9 Please Sign File(s) attached:
Executed on: (Date) 01/30/2023
#1..
- 264 -
Submission ID: 51a83db9-d743-4c6c-b1ab-e65847a69889 Page 1/9 Community Police Review Board Application for Appointment 01/31/2023 3:09 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
- 265 -
Submission ID: 51a83db9-d743-4c6c-b1ab-e65847a69889 Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
- 266 -
Submission ID: 51a83db9-d743-4c6c-b1ab-e65847a69889 Page 3/9 Name Michael Weber
Mailing Address
City Modesto
State CA
Postal Code 95350
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name Doctors Medical Center
Job Title Registered Nurse, Emergency Department
#1..
- 267 -
Submission ID: 51a83db9-d743-4c6c-b1ab-e65847a69889 Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
4 years, with 20+ years in Ceres
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
No
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
- 268 -
Submission ID: 51a83db9-d743-4c6c-b1ab-e65847a69889 Page 5/9 References
i. Name
Kent Hufford, MD
Address
Modesto, CA
Email Address
Phone Number
Relationship
Father in-law
ii. Name
Alexis Pratt
Address
Modesto, CA
Email Address
Phone Number
Relationship
Friend
#1..
- 269 -
Submission ID: 51a83db9-d743-4c6c-b1ab-e65847a69889 Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
White: Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.
Gender Male
Age 31 to 50
#1..
- 270 -
Submission ID: 51a83db9-d743-4c6c-b1ab-e65847a69889 Page 7/9 Do you have any educational institution information to add? Yes Educational Institution Information
i. Course of Study
AA - Natural Sciences MJC
ADN - Registered Nursing MJC
Degree Yes or No?
Yes
Please Describe your Degree
AS Registered nursing
AA Natural sciences
Do you have any professional
licenses / certificates to add?
Yes
Professional Licenses / Certificates
i. Description
Registered Nurse
Date Issued
06/02/2018
ii. Description
TNCC - Trauma Nursing Core Care
Date Issued
01/25/2023
iii. Description
ENPC - Emergency Nursing Pediatric Care
Date Issued
09/09/2023
Please include anything further
you would like to add to your
application regarding your
educational background.
Currently working on my public health degree and Masters in nursing leadership #1..
- 271 -
Submission ID: 51a83db9-d743-4c6c-b1ab-e65847a69889 Page 8/9 List any organizations or groups
that you belong to or are involved
with:
N/A
Briefly explain your interest in
serving on the Police Review
Board.
I want to bridge the gap between police officers and the community giving each side a better understanding for each others concerns. Too many people look at high profile cases and compare them other cases, often jumping to conclusions as to how things should be done. There are so many variables in each interaction to draw a conclusion without sufficient oversight and evidence.
What personal experience or
qualifications will you bring to the
Police Review Board?
I served in the Army out of high school with the intentions of becoming a Military Police officer. I work intimately with the community of Modesto in a professional capacity. I have a unique perspective of our community, because I deal with the citizens in our community who are going through some of the toughest moments of their lives. I work closely with city/state/county law enforcement in providing medical help to prisoners, suspects, emergency personnel and victims. I work closely with mental health patients, homeless patients and chemically addicted patients just about every single day. I have a great deal of respect for law enforcement personnel and a great deal empathy for our community.
Please share examples of your
community involvement.
My involvement is limited to working with the community every day in a healthcare capacity
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
That people need to understand that every police/citizen interaction is different, each interaction is unique because it involves different scenarios with variables that fluidly change instantly. Each case needs to be looked at objectively and through the lens of a unique group such as the CPRB. It allows us to collaborate and decide if an officers actions were appropriate for the case being reviewed.
Ultimately, we need to cultivate a better relationship between the community and the PD.
Date of Birth 1982
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
#1..
- 272 -
Submission ID: 51a83db9-d743-4c6c-b1ab-e65847a69889 Page 9/9 Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name Michael Weber
Please Sign File(s) attached:
Executed on: (Date) 01/31/2023
#1..
- 273 -
Submission ID: 0224334f-f895-4eb3-bbff-212df42ee720 Page 1/9 Community Police Review Board Application for Appointment 01/30/2023 2:06 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
- 274 -
Submission ID: 0224334f-f895-4eb3-bbff-212df42ee720 Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
- 275 -
Submission ID: 0224334f-f895-4eb3-bbff-212df42ee720 Page 3/9 Name Mike D Kelly
Mailing Address
City Modesto
State CA
Postal Code 95350
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name REMAX Executive
Job Title REALTOR
#1..
- 276 -
Submission ID: 0224334f-f895-4eb3-bbff-212df42ee720 Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
61 years
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
Yes
Previous Boards or Commissions
i. Name of Board or Commission
Blight
Start Date
07/01/2021
End Date
06/01/2022
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
- 277 -
Submission ID: 0224334f-f895-4eb3-bbff-212df42ee720 Page 5/9 References
i. Name
Patrick Wallace
Address
Modesto, CA 95350
Email Address
Phone Number
Relationship
Collegue
ii. Name
Derik Dami
Address
Modesto, CA 95355
Email Address
Phone Number
Relationship
Collegue
#1..
- 278 -
Submission ID: 0224334f-f895-4eb3-bbff-212df42ee720 Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
White: Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.
Gender Male
Age over 51
#1..
- 279 -
Submission ID: 0224334f-f895-4eb3-bbff-212df42ee720 Page 7/9 Do you have any educational institution information to add? No Do you have any professional
licenses / certificates to add?
Yes
Professional Licenses / Certificates
i. Description
Real Estate
Please include anything further
you would like to add to your
application regarding your
educational background.
None to add
#1..
- 280 -
Submission ID: 0224334f-f895-4eb3-bbff-212df42ee720 Page 8/9 List any organizations or groups
that you belong to or are involved
with:
California Association of REALTORS
Central Valley Association of REALTORS
Modesto Sunrise Rotary
Briefly explain your interest in
serving on the Police Review
Board.
I have a huge respect for our men and women in blue and understand that, like all things, nothing is perfect and believe we can strive for perfection through level headed review
What personal experience or
qualifications will you bring to the
Police Review Board?
Seriously, probably only experience I have is negotiating purchases and all the things that go along with that. dealing with the myriad of personalities and always striving for a win win outcome. No qualifications to speak of.
Please share examples of your
community involvement.
I have chaired many fundraising events of golf tournaments throughout the years benefitting Salvation Army and Other charity type organizations. From Laura's house to Scholarships for students. I was a member of Kiwanis of Greater Modesto in the past and served as President in 1998, I am currently a member of Modesto Sunrise Rotary, I was President of the Central Valley Association of REALTORS in 2018 and have been a Director for the same Association 1995-2000, 2015 -2019
A Director for the California Association of REALTORS 1998-2005, 2015-present and a Regional Chair for region 7 of the California Association of REALTORS 2022.
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
Honestly, no Idea at time of this application and I have done numerous outreach events to attract new members to both Kiwanis and the Central Valley Association of REALTORS, which is relationship building at its base level.
Date of Birth 1961
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
#1..
- 281 -
Submission ID: 0224334f-f895-4eb3-bbff-212df42ee720 Page 9/9 Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name Mike Kelly
Please Sign File(s) attached:
Executed on: (Date) 01/30/2023
#1..
- 282 -
Submission ID: 430deddd-7f8b-4782-92fa-3beb88cdd793 Page 1/9 Community Police Review Board Application for Appointment 01/31/2023 2:06 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
- 283 -
Submission ID: 430deddd-7f8b-4782-92fa-3beb88cdd793 Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
- 284 -
Submission ID: 430deddd-7f8b-4782-92fa-3beb88cdd793 Page 3/9 Name Nancy Smith
Mailing Address
City Modesto
State CA
Postal Code 95354
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name Retired
Job Title N/A
#1..
- 285 -
Submission ID: 430deddd-7f8b-4782-92fa-3beb88cdd793 Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
47 years
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
No
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
- 286 -
Submission ID: 430deddd-7f8b-4782-92fa-3beb88cdd793 Page 5/9 References
i. Name
Ricardo Cordova
Address
Modesto, CA 95354
Email Address
Phone Number
Relationship
Former co-worker and later supervisor at California Rural Legal Assistance Modesto and Stanislaus County Public Defenders Offce and long-time family friend. ii. Name
Maria Arevalo
Address
Modesto CA 95354
Email Address
Phone Number
Relationship
Former coworker at California Rural Legal Assistance and Stanislaus County Public Defenders Office and long-time family friend
#1..
- 287 -
Submission ID: 430deddd-7f8b-4782-92fa-3beb88cdd793 Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
White: Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.
Gender Female
Age over 51
#1..
- 288 -
Submission ID: 430deddd-7f8b-4782-92fa-3beb88cdd793 Page 7/9 Do you have any educational institution information to add? Yes Educational Institution Information
i. Course of Study
University of California, Santa Cruz, emphasis on 20th Century Near Eastern History and Politics, with one year at the American University of Beirut. Graduated 1972.
University of California, Davis, Martin Luther King Hall Law School, graduated 1975 Degree Yes or No?
Yes
Please Describe your Degree
I have a B.A. degree from U.C Santa Cruz and a J.D. from U.C. Davis. I practiced law in Stanislaus County from 1975 until 2015, and returned to the Public Defenders office in 2021 for six months. I recently went on inactive status.
Do you have any professional
licenses / certificates to add?
Yes
Professional Licenses / Certificates
i. Description
I am licensed to practice law by the California State Bar since late 1975; I am currently on inactive status.
Date Issued
12/15/2023
#1..
- 289 -
Submission ID: 430deddd-7f8b-4782-92fa-3beb88cdd793 Page 8/9 List any organizations or groups
that you belong to or are involved
with:
I am a member of the Stanislaus Commission on Women; the Stanislaus County League of Women Voters; Modesto Friends of the Library (where I served on the Board for ten years); and the Modesto Peace/Life Center.
Briefly explain your interest in
serving on the Police Review
Board.
I think that working in the criminal justice system for fifteen years provides me with a solid background for serving on the CPRB. I think that the City's decision to establish the CPRB is significant and commendable. I have worked with city police officers and I am interested in helping to establish the review board as it begins its task of working with the City, the police force, and the community to improve police-community relationships and to deal with citizen complaints regarding police conduct. I think that the CPRB will serve a vital purpose in Modesto and I would like to be a part in implementing the vision of the working group and the City in establishing the review board.
What personal experience or
qualifications will you bring to the
Police Review Board?
I worked as a deputy public defender in Stanislaus County for 15 years and bring experience in the criminal justice system, in reviewing police investigations and interrogations, and in sifting through clients' complaints and my observations of police conduct. Having observed hours of police camera recordings, I have been able to observe the difficulty of the job that our police officers face as well as how they carry out that job, particularly in their interactions with the community. Prior to being a deputy public defender, I was a staff attorney and directing attorney at the California Rural Legal Assistance office in Modesto for nearly fifteen years. While at CRLA, I represented lowincome members of our community in a variety of legal problems, including landlord-tenant, labor issues, education and governmental assistance issues. I also worked on various immigration workshops that the CRLA Foundation put on throughout the county.
Please share examples of your
community involvement.
I volunteered at El Concilio's naturalization workshops both in Modesto and in Stockton. I served on the the Modesto Friends of the Library board of directors for ten years and have participated in the League of Women Voters candidate forums, though primarily as an attendee. While at the Public Defenders office, I volunteered as a Moot Court judge and also coached the Downey High School moot court team for a number of years. I also volunteered at the Stanislaus County Elections Office for the 2020 general election.
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
I think that the working group did extensive outreach and listened to input for a variety of community groups: Stanislaus County NAACP, Faith in the Valley, the ACLU, the Woodland West Community Neighborhood, Modesto West People of Action Council, among others. I would build on those initial listening sessions and continue to dialogue with those groups and their members. I am particularly interested in alternative responses by Modesto Police Department, which are already underway, and I would like to focus community members suffering from metal health and substance abuse issues and communicating with families and groups serving residents confronting those issues, such as NAMI, BHRS and other countywide agencies serving these community members, such as the Center for Human Services. Also, I think that contact with and outreach to the City Ministry Network, the Latino Leadership Initiative, and the Latino Community Roundtable would be a way to build such relationships.
Date of Birth 2024
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement. #1..
- 290 -
Submission ID: 430deddd-7f8b-4782-92fa-3beb88cdd793 Page 9/9 Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name Nancy C. Smith
Please Sign File(s) attached:
Executed on: (Date) 01/31/2023
#1..
- 291 -
Submission ID: 11fcea41-fc5a-40e9-91e9-eff3a54c3f7b Page 1/9 Community Police Review Board Application for Appointment 01/11/2023 4:09 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
- 292 -
Submission ID: 11fcea41-fc5a-40e9-91e9-eff3a54c3f7b Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
- 293 -
Submission ID: 11fcea41-fc5a-40e9-91e9-eff3a54c3f7b Page 3/9 Name Nicholas C Sottero
Mailing Address
City Modesto
State CA
Postal Code 95354
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name Physically Disabled
Job Title Retired
#1..
- 294 -
Submission ID: 11fcea41-fc5a-40e9-91e9-eff3a54c3f7b Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
15 years
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
Yes
Previous Boards or Commissions
i. Name of Board or Commission
Disabled Access Appeals Board
Start Date
05/01/2018
End Date
12/31/2022
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
- 295 -
Submission ID: 11fcea41-fc5a-40e9-91e9-eff3a54c3f7b Page 5/9 References
i. Name
Stacy Sottero
Address
Email Address
Phone Number
Relationship
Wife
ii. Name
Michael Cook
Address
Email Address
Phone Number
Relationship
Friend
#1..
- 296 -
Submission ID: 11fcea41-fc5a-40e9-91e9-eff3a54c3f7b Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
Hispanic or Latino: Persons of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race.
Gender Male
Age 31 to 50
#1..
- 297 -
Submission ID: 11fcea41-fc5a-40e9-91e9-eff3a54c3f7b Page 7/9 Do you have any educational institution information to add? Yes Educational Institution Information
i. Course of Study
Criminal Justice
Degree Yes or No?
No
Do you have any professional
licenses / certificates to add?
Yes
Professional Licenses / Certificates
i. Description
Basic POST Dispatch Certificate
Date Issued
04/30/1999
Please include anything further
you would like to add to your
application regarding your
educational background.
30 years of studying Criminal Justice
#1..
- 298 -
Submission ID: 11fcea41-fc5a-40e9-91e9-eff3a54c3f7b Page 8/9 List any organizations or groups
that you belong to or are involved
with:
I served a four year term on the Disabled Access Appeals Board for the City of Modesto. I was a Police Explorer with the California Highway Patrol in both Oakland and Hayward. Prior to this I served as an Explorer for the City of Hayward municipal court. I am currently in the hiring process for an Ambulance company to work remotely as a Medical Dispatcher.
Briefly explain your interest in
serving on the Police Review
Board.
I believe as a member of the Community Police Review board a person must be able to look objectively at evidence and the entire circumstances presented. To do so requires an individual who is fair and unbiased. I understand that this may require learning department policy which could be complex. At the same time this individual must be willing to make difficult decisions which may be unpopular. My goal is to help my community, the city and the Police Department.
I am excited at the prospect of joining this board and making Modesto a truly great city.
What personal experience or
qualifications will you bring to the
Police Review Board?
As a citizen with a physical disability I have a passion for equality and social justice. At times In my life I have faced adversity and discrimination. As a child I experienced homelessness and harassment.
I have studied Criminal Justice for approximately 30 years. I currently hold a POST Dispatcher Certificate and will be working toward an Emergency Medical Dispatch Certificate.
Please share examples of your
community involvement.
In 2008 my wife and I purchased a home in Modesto. Since moving to Modesto I served a four year term on the Disabled Access Appeals Board for the City of Modesto. Prior to this appointment I served a term on the City of Modesto's Equity Commission. My wife currently serves on the Diversity, Equity, and Inclusion board and is employed as a EMS Manager here in Modesto. We enjoy going to the Gallo Center for the Arts and Modesto Nuts Baseball games. Our son worked for the Modesto Nuts for two seasons.
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
I would like to organize public forums where members of the CPRB can present information on the board's functions and responsibilities, as well as answer questions and address concerns from community members. Reach out to community groups such as neighborhood watch associations, ring neighborhood app, and Modesto Gospel Mission. This could also be opportunity to collaborate with these groups to develop initiatives that promote safety and trust between police and community. Use social media platforms to educate the community about the CPRB and its activities, share information on how to file complaints, and engage in online discussions with community members.
Regularly publish reports on the complaints and how they were handled, what were the outcome and recommendations, this way the community can be informed on the operations and performance of the board, so they can have more trust and understanding of the work of the CPRB.
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
#1..
- 299 -
Submission ID: 11fcea41-fc5a-40e9-91e9-eff3a54c3f7b Page 9/9 Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name Nicholas C. Sottero
Please Sign File(s) attached:
Executed on: (Date) 01/11/2023
#1..
- 300 -
Submission ID: 6eaa0927-9a5a-41d1-86e8-95bb70a4c31a Page 1/9 Community Police Review Board Application for Appointment 01/09/2023 3:37 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
- 301 -
Submission ID: 6eaa0927-9a5a-41d1-86e8-95bb70a4c31a Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
- 302 -
Submission ID: 6eaa0927-9a5a-41d1-86e8-95bb70a4c31a Page 3/9 Name NICO SOLORIO
Mailing Address
City MODESTO
State CA
Postal Code 95356
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name City Ministry Network
Job Title Emergency Rental Assistance Manager
#1..
- 303 -
Submission ID: 6eaa0927-9a5a-41d1-86e8-95bb70a4c31a Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
25 Years
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
Yes
Previous Boards or Commissions
i. Name of Board or Commission
Forward Together
Start Date
09/16/2021
End Date
09/27/2022
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
- 304 -
Submission ID: 6eaa0927-9a5a-41d1-86e8-95bb70a4c31a Page 5/9 References
i. Name
Joe Duran
Address
n/a
Email Address
Phone Number
Relationship
Mentor
ii. Name
Leslie Ramirez
Address
Email Address
Phone Number
Relationship
Professional
#1..
- 305 -
Submission ID: 6eaa0927-9a5a-41d1-86e8-95bb70a4c31a Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
Hispanic or Latino: Persons of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race.
Gender Male
Age 21 to 30
#1..
- 306 -
Submission ID: 6eaa0927-9a5a-41d1-86e8-95bb70a4c31a Page 7/9 Do you have any educational institution information to add? No Do you have any professional
licenses / certificates to add?
No
Please include anything further
you would like to add to your
application regarding your
educational background.
I have been apart of the Modesto's Forward Together committee for the past two years learning and developing ways to work with the Modesto Police department to increase trust in our community. I have a deep passion for building trust between officers and the community. I would bring with me that passion to not only keep officers and community members accountable for their actions but ways to further build a all around trusting environment for all constituents.
#1..
- 307 -
Submission ID: 6eaa0927-9a5a-41d1-86e8-95bb70a4c31a Page 8/9 List any organizations or groups
that you belong to or are involved
with:
Modesto's First Federal Credit Union - Board Member
City Ministry Network - Employee
Stanislaus Equity Partners - Employee
Ableworks - Advisory Committee Member
The Better Modesto Show - Co-host
Briefly explain your interest in
serving on the Police Review
Board.
I believe that as a PRB member I am interested in learning more about police everyday duties and work. I hope to continue expanding my mind with their duties and see how much officers do as a everyday tasks. I am interested in the mental health of police officers and seeing how after certain events we can be sure to have mental health checks with every officer, especially after fatal events.
What personal experience or
qualifications will you bring to the
Police Review Board?
As far as personal experience, I know several officers and how sometimes they bring their "work" home with them. Meaning bringing frustrations from work such as interaction with traffic stops or home wellness checks. Growing up I had a step father who was a police officer and I knew he would bring things home. I saw arguments and frustrations start and I believe they could have been from things he saw at work.
I personally would like to be a partner in working together to resolve other issues that may arise while on the review board also.
Please share examples of your
community involvement.
Modesto's First Federal Credit Union - Board Member 2 years City Ministry Network - Employee 3 years managing the Emergency rental assistance program
Stanislaus Equity Partners - Employee 6 months
Ableworks - Advisory Committee Member 1.5 years
The Better Modesto Show - Co-host 6 months
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
I feel that by using my platforms and some of the tools I used as a program manager , outreaching to constituents in order to get them the rental assistance they needed, we were able to give $15,000,000 away for rental assistance by creating informational and on the spot assistance for the program.
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
#1..
- 308 -
Submission ID: 6eaa0927-9a5a-41d1-86e8-95bb70a4c31a Page 9/9 Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name Nico Solorio
Please Sign File(s) attached:
Executed on: (Date) 01/09/2023
#1..
- 309 -
Submission ID: 4781d8d5-6a3c-45d9-bcdd-e363659adeb6 Page 1/9 Community Police Review Board Application for Appointment 01/31/2023 1:05 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
- 310 -
Submission ID: 4781d8d5-6a3c-45d9-bcdd-e363659adeb6 Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
- 311 -
Submission ID: 4781d8d5-6a3c-45d9-bcdd-e363659adeb6 Page 3/9 Name Noah Wells
Mailing Address
City Modesto
State CA
Postal Code 95354
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name Modesto Irrigation District
Job Title Engineering Technician
#1..
- 312 -
Submission ID: 4781d8d5-6a3c-45d9-bcdd-e363659adeb6 Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
27 Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
No
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
- 313 -
Submission ID: 4781d8d5-6a3c-45d9-bcdd-e363659adeb6 Page 5/9 References
i. Name
Jonathan Quinones
Address
N/A
Email Address
Phone Number
Relationship
Pastor
ii. Name
Jack Rodgers
Email Address
Phone Number
Relationship
Supervisor
#1..
- 314 -
Submission ID: 4781d8d5-6a3c-45d9-bcdd-e363659adeb6 Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
Other (Not Listed)
Other racial/ethnic category White and Asian
Gender Male
Age 21 to 30
#1..
- 315 -
Submission ID: 4781d8d5-6a3c-45d9-bcdd-e363659adeb6 Page 7/9 Do you have any educational institution information to add? Yes Educational Institution Information
i. Course of Study
Economics
Degree Yes or No?
Yes
Please Describe your Degree
B.A. in Economics, minor in Mathematics, CSU Stanislaus Do you have any professional
licenses / certificates to add?
No
#1..
- 316 -
Submission ID: 4781d8d5-6a3c-45d9-bcdd-e363659adeb6 Page 8/9 List any organizations or groups
that you belong to or are involved
with:
Revival Church
Briefly explain your interest in
serving on the Police Review
Board.
I was born and raised in Modesto and I care deeply about this city and community. I believe that I can provide a measured, objective perspective to the important topics the CPRB will be reviewing. I also understand that these are important matters being reviewed and need to be handled with sensitivity.
What personal experience or
qualifications will you bring to the
Police Review Board?
I am familiar with the demographic and economic conditions in Modesto. I have worked a variety of jobs in Modesto that allowed me to interact with people from every background, helping me to understand the needs and desires of citizens in Modesto.
Please share examples of your
community involvement.
I participate frequently in community outreach events with my local church. I have also served on the Student Center Board of Directors at CSU Stanislaus.
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
Being present where the citizens of Modesto are will give them the best opportunities to understand the role of the board, such as holiday and community events.
Date of Birth 2023
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
#1..
- 317 -
Submission ID: 4781d8d5-6a3c-45d9-bcdd-e363659adeb6 Page 9/9 Type Your Name Noah Wells
Please Sign File(s) attached:
Executed on: (Date) 01/31/2023
#1..
- 318 -
Submission ID: e1e34319-3d8a-4d27-b85a-6ff41a8fcf14 Page 1/9 Community Police Review Board Application for Appointment 01/31/2023 4:52 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
- 319 -
Submission ID: e1e34319-3d8a-4d27-b85a-6ff41a8fcf14 Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
- 320 -
Submission ID: e1e34319-3d8a-4d27-b85a-6ff41a8fcf14 Page 3/9 Name Pastor Latricia Beasley-Day
Mailing Address
City Modesto
State CA
Postal Code 95354
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name Faith In the Valley
Job Title Community Organizer
#1..
- 321 -
Submission ID: e1e34319-3d8a-4d27-b85a-6ff41a8fcf14 Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
15years
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
No
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
- 322 -
Submission ID: e1e34319-3d8a-4d27-b85a-6ff41a8fcf14 Page 5/9 References
i. Name
Bishop Tylos Jacks Jr.
Address
Email Address
Phone Number
Relationship
Pastor
ii. Name
Tony Madrigal
Address
Email Address
Phone Number
Relationship
Friend
#1..
- 323 -
Submission ID: e1e34319-3d8a-4d27-b85a-6ff41a8fcf14 Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
Black or African American: Persons having origins in any of the black racial groups of Africa.
Gender Female
Age over 51
#1..
- 324 -
Submission ID: e1e34319-3d8a-4d27-b85a-6ff41a8fcf14 Page 7/9 Do you have any educational institution information to add? Yes Educational Institution Information
i. Course of Study
Psychology
Degree Yes or No?
No
Do you have any professional
licenses / certificates to add?
No
#1..
- 325 -
Submission ID: e1e34319-3d8a-4d27-b85a-6ff41a8fcf14 Page 8/9 List any organizations or groups
that you belong to or are involved
with:
Legacy Alliance Outreach
MBS Consultants
Victory In Praise Church of Modesto
NAACP
West Modesto Collaborative.
Briefly explain your interest in
serving on the Police Review
Board.
My interest comes from my desire to be a voice for my community regarding police interactions and accountability. It is my hope that my presence would aid in bridging the gap that would lead to improved community relationships with Modesto Police Dept.
What personal experience or
qualifications will you bring to the
Police Review Board?
Public Speaking
Community Organizing
Strategic Planning
Quality Assurance
Listening Skills
Canvassing
1:1 interviewing
Please share examples of your
community involvement.
Oversee Community Outreach Programs at Victory In Praise Voter Registration Drives
Cultural Relations Program with Legacy Alliance Outreach 12 Step Recovery Program facilitation
Project Resolve
Catalyst
Community Builders at WMCC
People of Action at WMCC
Mindfulness-Based Substance Abuse Treatment for Adolescents Facilitator Working with Formerly Incarcerated
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
I will establish workshops throughout the city to educate the community on CPRB. I will Host 1:1 sessions with community, listening to their concerns and bringing the top concerns to the CPRB for discussion and clarification. I will be the tool used to Bridge the gap and Build relationship with MPD and Community.
Date of Birth 1967
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
#1..
- 326 -
Submission ID: e1e34319-3d8a-4d27-b85a-6ff41a8fcf14 Page 9/9 Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name Latricia J. Beasley-Day
Please Sign File(s) attached:
Executed on: (Date) 01/31/2023
#1..
- 327 -
Submission ID: 43dc9735-f8cf-4101-9dcd-6a74d2131542 Page 1/9 Community Police Review Board Application for Appointment 01/24/2023 7:07 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
- 328 -
Submission ID: 43dc9735-f8cf-4101-9dcd-6a74d2131542 Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
- 329 -
Submission ID: 43dc9735-f8cf-4101-9dcd-6a74d2131542 Page 3/9 Name Patricia Sanchez
Mailing Address
City Modesto
State CA
Postal Code 95350
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name Self-Employed
Job Title Certified Notary
#1..
- 330 -
Submission ID: 43dc9735-f8cf-4101-9dcd-6a74d2131542 Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
8 Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
No
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
- 331 -
Submission ID: 43dc9735-f8cf-4101-9dcd-6a74d2131542 Page 5/9 References #1..
- 332 -
Submission ID: 43dc9735-f8cf-4101-9dcd-6a74d2131542 Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
Hispanic or Latino: Persons of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin, regardless of race.
Gender Female
Age 31 to 50
#1..
- 333 -
Submission ID: 43dc9735-f8cf-4101-9dcd-6a74d2131542 Page 7/9 Do you have any educational institution information to add? Yes Educational Institution Information
i. Course of Study
Business Administration
Degree Yes or No?
Yes
Please Describe your Degree
Bachelor’s Degree
Do you have any professional
licenses / certificates to add?
Yes
Professional Licenses / Certificates
i. Description
Certified Notary
Date Issued
11/16/2022
#1..
- 334 -
Submission ID: 43dc9735-f8cf-4101-9dcd-6a74d2131542 Page 8/9 List any organizations or groups
that you belong to or are involved
with:
MYSA
Our Lady of Fatima
Briefly explain your interest in
serving on the Police Review
Board.
Is a great opportunity to participate in the community and have better understanding of the police in our neighborhoods.
What personal experience or
qualifications will you bring to the
Police Review Board?
I can bring the point of view of the Hispanic and Latino community. I am fluent in Spanish. Have experience auditing financial documents. Experience providing excellent customer service to people from diverse background.
Please share examples of your
community involvement.
Participated as Soccer Coach for MYSA
Volunteer at Stanislaus County Tax Collector
Participated on the 2022 annual 10k with a cop.
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
Partner with schools to coordinate meetings with parents clubs. Promote National Night Out on underserved neighborhoods. Create a group on social media such as Facebook , Instagram.
Date of Birth 1983
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
#1..
- 335 -
Submission ID: 43dc9735-f8cf-4101-9dcd-6a74d2131542 Page 9/9 Type Your Name Patricia Sanchez
Please Sign File(s) attached:
Executed on: (Date) 01/24/2023
#1..
- 336 -
Submission ID: 5cedb079-daa8-45fc-be33-4afa62248595 Page 1/9 Community Police Review Board Application for Appointment 01/26/2023 10:32 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
- 337 -
Submission ID: 5cedb079-daa8-45fc-be33-4afa62248595 Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
- 338 -
Submission ID: 5cedb079-daa8-45fc-be33-4afa62248595 Page 3/9 Name Renee Crawford
Mailing Address
City Modesto
State CA
Postal Code 95358
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name Stanislaus County Public Health
Job Title Social Worker
#1..
- 339 -
Submission ID: 5cedb079-daa8-45fc-be33-4afa62248595 Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
29 years
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
No
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
- 340 -
Submission ID: 5cedb079-daa8-45fc-be33-4afa62248595 Page 5/9 References
i. Name
Wendy Byrd
Email Address
Phone Number
Relationship
Friend
ii. Name
Jeremiah Williams
Phone Number
Relationship
Friend
#1..
- 341 -
Submission ID: 5cedb079-daa8-45fc-be33-4afa62248595 Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
Black or African American: Persons having origins in any of the black racial groups of Africa.
Gender Female
Age over 51
#1..
- 342 -
Submission ID: 5cedb079-daa8-45fc-be33-4afa62248595 Page 7/9 Do you have any educational institution information to add? Yes Educational Institution Information
i. Course of Study
California State University, Stanislaus 2004
Claflin University 1985
Modesto Junior College 1994
Degree Yes or No?
Yes
Please Describe your Degree
MSW
BA
AA
Do you have any professional
licenses / certificates to add?
Yes
Professional Licenses / Certificates
i. Description
Certificate in Ethnics Studies
Please include anything further
you would like to add to your
application regarding your
educational background.
Member of various organization in the City of Modesto:
National Association for the Advancement of Colored People (NAACP) Central Valley Democratic Club (CVDC)
African American Democratic Caucus (AADC)
Bay Area Association of Black Social Workers (BAABSW)
National Associations of Social Workers (NASW)
Service Employees International Union (SEIU 521)
Women Unified Nationally (W.U.N.)
#1..
- 343 -
Submission ID: 5cedb079-daa8-45fc-be33-4afa62248595 Page 8/9 List any organizations or groups
that you belong to or are involved
with:
Already discussed prior.
Briefly explain your interest in
serving on the Police Review
Board.
To improve social injustice in the community and to provide diversity! What personal experience or
qualifications will you bring to the
Police Review Board?
Suggestion, comments, life stories.
Please share examples of your
community involvement.
I have served on the Community Board of Friends Outside for over 20 years before it was disbanded. We educated, housed, clothed and provided incarcerated individuals with employment.
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
When the community see me they see themselves. They will know that we are working on their behalf!
Date of Birth 1962
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
#1..
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Submission ID: 5cedb079-daa8-45fc-be33-4afa62248595 Page 9/9 Type Your Name Renee C. L. Crawford
Please Sign File(s) attached:
Executed on: (Date) 01/26/2023
#1..
- 345 -
Submission ID: f3f6702a-7673-40ed-801d-800245e4a4e1 Page 1/9 Community Police Review Board Application for Appointment 01/27/2023 5:26 AM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
- 346 -
Submission ID: f3f6702a-7673-40ed-801d-800245e4a4e1 Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
- 347 -
Submission ID: f3f6702a-7673-40ed-801d-800245e4a4e1 Page 3/9 Name sandra lucas
Mailing Address
City Modesto
State CA
Postal Code 95355
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name Stanislaus County Superior Court
Job Title Director of Family Court Services
#1..
- 348 -
Submission ID: f3f6702a-7673-40ed-801d-800245e4a4e1 Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
35 years
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
Yes
Previous Boards or Commissions
i. Name of Board or Commission
Planning Commission
Start Date
01/03/2011
End Date
12/02/2019
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
- 349 -
Submission ID: f3f6702a-7673-40ed-801d-800245e4a4e1 Page 5/9 References
i. Name
Aaron Anguiano
Address
Modesto, Ca.95354
Email Address
Phone Number
Relationship
friend-he is president of LCR
ii. Name
Assemblyman Juan Alanis
Address
Modesto, Ca. 95354
Phone Number
Relationship
co -worker before his election
#1..
- 350 -
Submission ID: f3f6702a-7673-40ed-801d-800245e4a4e1 Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
White: Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.
Gender Female
Age over 51
#1..
- 351 -
Submission ID: f3f6702a-7673-40ed-801d-800245e4a4e1 Page 7/9 Do you have any educational institution information to add? Yes Educational Institution Information
i. Course of Study
BA in political science and history with a teaching credential which has expired MS in Psych with a speciality in alcohol and drug abuse Both degrees from University of Arizona
Degree Yes or No?
Yes
Please Describe your Degree
BA in political science and history with a teaching credential which has expired MS in Psych with a speciality in alcohol and drug abuse Both degrees from University of Arizona
Do you have any professional
licenses / certificates to add?
Yes
Professional Licenses / Certificates
i. Description
Licensed Marriage and Family Therapist-License number LMFT9150 Please include anything further
you would like to add to your
application regarding your
educational background.
I am required by both my license and court position to take numerous educational courses for continuing ed. Ethics is a requirement that I must take yearly for example.
#1..
- 352 -
Submission ID: f3f6702a-7673-40ed-801d-800245e4a4e1 Page 8/9 List any organizations or groups
that you belong to or are involved
with:
I have been a member of LWV, LCR, NAACP.
Frankly since Covid and the death of my husband I haven't been as active but am now back wanting to be involved
Briefly explain your interest in
serving on the Police Review
Board.
I would like to serve on the board because I have worked for many years with diverse populations, and law enforcement, and would like to use my knowledge to facilitate open discussions about policy, and practices. I would like to be part of discussions that do not vilify a party but leads to an honest appraisal of what could we do differently, for example, if there is a critical incident. I enjoy community boards because we look to serving the best interest of Modesto.
Since I will be retiring by June 1, I also have the time.
What personal experience or
qualifications will you bring to the
Police Review Board?
As a mediator and Licensed therapist, I have spent my career listening to people's ideas, and concerns and helping them resolve difficult. issues. I have the ability to analyze. how situations affect people and offer alternative solutions. As an administrator for the court, I have long had to write and enforce policies and practices that support fairness, safety and equity. I also understand how to work with people who have different viewpoints and how to agree to disagree with respect. I also enjoy public speaking.
Please share examples of your
community involvement.
I have been on city charter review committees
Planning Commission
Comprehensive Fee Committee for city
Numerous Hispanic Organizations and received an award
Was at one time on the Board of the LWV
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
I believe doing outreach is crucial from attending neighborhood watch meetings, service clubs, school PTA meetings, public hearings, secular and religious organizations, and any other groups we would be invited to attend. I prefer community outreach where we go to the community areas rather than mass meetings where they come to us at 1010 10th Street.
Date of Birth 1949
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
#1..
- 353 -
Submission ID: f3f6702a-7673-40ed-801d-800245e4a4e1 Page 9/9 Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name sandra Lucas
Please Sign File(s) attached:
Executed on: (Date) 01/27/2023
#1..
- 354 -
Submission ID: 23875541-d232-4ee4-ac4d-b4410267d730 Page 1/9 Community Police Review Board Application for Appointment 01/12/2023 3:50 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
- 355 -
Submission ID: 23875541-d232-4ee4-ac4d-b4410267d730 Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
- 356 -
Submission ID: 23875541-d232-4ee4-ac4d-b4410267d730 Page 3/9 Name Siddharth Kok
Mailing Address
City Modesto
State California
Postal Code 95355
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name Exos
Job Title Corporate Wellness Project Manager
#1..
- 357 -
Submission ID: 23875541-d232-4ee4-ac4d-b4410267d730 Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
Three years
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
No
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
- 358 -
Submission ID: 23875541-d232-4ee4-ac4d-b4410267d730 Page 5/9 References
i. Name
CAPT Jonathan C. Puskas
Address
Lake Oswego, OR 97034
Email Address
Phone Number
Relationship
VP of Exos@Google account, manager, coworker
ii. Name
Monica Laudermilk
Address
Goodyear, AZ 85338
Email Address
Phone Number
Relationship
Executive sponsor for BIPOC culture group of which I chaired. Coworker #1..
- 359 -
Submission ID: 23875541-d232-4ee4-ac4d-b4410267d730 Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
Asian: Persons having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including China, Japan, Korea, Cambodia, India, Malaysia, Pakistan, and the Philippine Islands, Thailand and Vietnam.
Gender Male
Age 21 to 30
#1..
- 360 -
Submission ID: 23875541-d232-4ee4-ac4d-b4410267d730 Page 7/9 Do you have any educational institution information to add? Yes Educational Institution Information
i. Course of Study
B.S. Kinesiology from San Jose State University
Degree Yes or No?
Yes
Please Describe your Degree
The study of physical activity, movement, and health. A well-rounded approach to health, wellness, and fitness.
Do you have any professional
licenses / certificates to add?
Yes
Professional Licenses / Certificates
i. Description
Professional Project Manager (PMP)
Date Issued
12/31/2020
ii. Description
Certified Scrum Manager (CSM)
Date Issued
06/30/2022
iii. Description
Certified Product Manager
Date Issued
11/30/2021
#1..
- 361 -
Submission ID: 23875541-d232-4ee4-ac4d-b4410267d730 Page 8/9 List any organizations or groups
that you belong to or are involved
with:
Exos BIPOC and Multicultural Employee Resource Group
Exos Parents and Caregivers Employee Resource Group
Exos Women's Employee Resource Group
Exos LGBTQIA+ Employee Resource Group
Contentment Brewery Community Bookclub
Briefly explain your interest in
serving on the Police Review
Board.
I was an immigrant who became a citizen a decade ago but it wasn't until I moved to Modesto that I finally felt like I was HOME, I want to actively help and support making my new home even better. I'm highly interested in serving on the Community Police Review Board because it has been something I've closely monitored and yearned for ever since the first Forward Together discussions took place.
I'd like to be an empathetic, constructively critical, and reasonable voice that helps bridge the gap between everyone in our community with our police department. Recognizing and advocating for the unique difficulties, experiences, lifestyles felt by various demographics of our area with the understaffed, overspread, and genuinely enthusiastic community partners within our police department.
What personal experience or
qualifications will you bring to the
Police Review Board?
Apart from my unique personal perspective as a college educated, community focused, Indian-American citizen, I have numerous years of active involvement with the various culture groups in my company. I helped found the BIPOC culture group of which the membership continues to grow 25-50% year over year.
In-person/online event planning (Educational, Community Forums, Guest Speakers, Cultural Moments/Months, etc)
My job involves a tremendous amount of policy creation, procedure refinement, and large networks of stakeholders
Several years of experience using Robert's Rules of Parliamentary Order Please share examples of your
community involvement.
Community involvement is more than attending events or meetings for me, its the daily interactions with other members in our city and neighboring areas. Its shopping local with our farmer's markets, its patronizing our growing downtown restaurants and stores, its engaging with our Mayor and city staff at public forums, and so much more. I love seeing the same dollar I spend at one spot in our city clearly bouncing around and enriching my neighbors.
Community involvement looks like attending cultural gatherings and heritage events that which I don't belong to but am so eager to learn more about.
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
First and foremost, I'd try to meet people where they're at, that might not necessarily always be online Thursdays at 5pm; it would be at our city service buildings, our community enrichment centers, our shelters, schools, colleges, and more. I'd like to challenge the board and our police department to invest in being seen, educating, and interacting where community actually happens. If we're to be the advocates of our broader community, we must be willing to build as many bridges in as many areas as we can.
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement. #1..
- 362 -
Submission ID: 23875541-d232-4ee4-ac4d-b4410267d730 Page 9/9 Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name Siddharth Koka
Please Sign File(s) attached:
Executed on: (Date) 01/12/2023
#1..
- 363 -
Submission ID: 5cb8c340-8b08-4fc2-aed4-14bee01d5a2a Page 1/9 Community Police Review Board Application for Appointment 01/30/2023 6:22 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
- 364 -
Submission ID: 5cb8c340-8b08-4fc2-aed4-14bee01d5a2a Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
- 365 -
Submission ID: 5cb8c340-8b08-4fc2-aed4-14bee01d5a2a Page 3/9 Name Stephen Ringhoff
Mailing Address
City Modesto
State CA
Postal Code 95357
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name Retired
Job Title Retired
#1..
- 366 -
Submission ID: 5cb8c340-8b08-4fc2-aed4-14bee01d5a2a Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
56 years
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
No
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
- 367 -
Submission ID: 5cb8c340-8b08-4fc2-aed4-14bee01d5a2a Page 5/9 References
i. Name
Joan Donlon
Address
Email Address
Phone Number
Relationship
Friend
ii. Name
Kathy Johnson
Address
Email Address
Phone Number
Relationship
Friend
#1..
- 368 -
Submission ID: 5cb8c340-8b08-4fc2-aed4-14bee01d5a2a Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
White: Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.
Gender Male
Age over 51
#1..
- 369 -
Submission ID: 5cb8c340-8b08-4fc2-aed4-14bee01d5a2a Page 7/9 Do you have any educational institution information to add? No Do you have any professional
licenses / certificates to add?
Yes
Professional Licenses / Certificates
i. Description
State Bar of California Lic. no. 067287
Please include anything further
you would like to add to your
application regarding your
educational background.
Bee Reporter 1967-76.
Attorney from 1976-2013
Independent Journalist 2017-present
#1..
- 370 -
Submission ID: 5cb8c340-8b08-4fc2-aed4-14bee01d5a2a Page 8/9 List any organizations or groups
that you belong to or are involved
with:
None
Briefly explain your interest in
serving on the Police Review
Board.
Would like to see shift in focus from the review of the last few seconds of an encounter to a review of all aspects.
What personal experience or
qualifications will you bring to the
Police Review Board?
Was police beat reporter for about 10 years; did some criminal defense work as an attorney early in my practice; have been active as an independent journalist since retirement, contributing to The Valley Citizen and my own internet publication, modestoexplained.com, subjects including high speed chases, officer involved shootings and other aspects of law enforcement-citizen interaction. Have researched best practice standards. Served as foreperson on Stanislaus County Criminal Grand Jury.
Please share examples of your
community involvement.
Primarily as journalist and grand jury foreperson. Do not belong to clubs.
Frequent contributor of Letters to the Editor of the Modesto Bee Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
Would speak to civic organizations and contribute op Ed’s to the Bee and Valley Citizen
Date of Birth 1944
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
#1..
- 371 -
Submission ID: 5cb8c340-8b08-4fc2-aed4-14bee01d5a2a Page 9/9 Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name Stephen Ringhoff
Please Sign File(s) attached:
Executed on: (Date) 01/30/2023
#1..
- 372 -
Submission ID: e879e5de-838d-433d-935b-2b15b2aec344 Page 1/9 Community Police Review Board Application for Appointment 01/23/2023 12:09 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
- 373 -
Submission ID: e879e5de-838d-433d-935b-2b15b2aec344 Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
- 374 -
Submission ID: e879e5de-838d-433d-935b-2b15b2aec344 Page 3/9 Name Stevebn Finch
Mailing Address
City Modesto
State CA
Postal Code 95350
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name Fisher Wireless
Job Title Indirect Channel Manager
#1..
- 375 -
Submission ID: e879e5de-838d-433d-935b-2b15b2aec344 Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
55 years
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
No
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
- 376 -
Submission ID: e879e5de-838d-433d-935b-2b15b2aec344 Page 5/9 References
i. Name
Sue Zwahlen
Address
Modesto CA 95350
Email Address
Phone Number
Relationship
Friend
ii. Name
Frank Damrell
Address
Email Address
Phone Number
Relationship
Friend
#1..
- 377 -
Submission ID: e879e5de-838d-433d-935b-2b15b2aec344 Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
White: Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.
Gender Male
Age over 51
#1..
- 378 -
Submission ID: e879e5de-838d-433d-935b-2b15b2aec344 Page 7/9 Do you have any educational institution information to add? No Do you have any professional
licenses / certificates to add?
No
#1..
- 379 -
Submission ID: e879e5de-838d-433d-935b-2b15b2aec344 Page 8/9 List any organizations or groups
that you belong to or are involved
with:
President Modesto Quarterback Club
CEO - Stanislaus Homeless Advocacy and Resource Enterprise CASA of Stanislaus volunteer
Youth football and baseball coach
Board of Stanislaus State Athletic Foundation
President of Thomas Downey Athletic Booster Club
Briefly explain your interest in
serving on the Police Review
Board.
I feel I represent a segment of long time Modesto residence and have a desire to serve my community.
What personal experience or
qualifications will you bring to the
Police Review Board?
A great many hours of Community Service in many diverse areas.
Please share examples of your
community involvement.
CEO of a Homeless non profit
President of Modesto Quarterback Club
CASA volunteer for Foster Youth
Coach and Board member of many athletic associations.
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
Every day of my life is spent in some form of Community outreach. Educating the public on all the issues I have been involved with over the years. Creating collaborative partnerships within my circle of friends and the larger population.
The public deserves to feel confident in this board and assured that is represents them.
Date of Birth 1961
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
#1..
- 380 -
Submission ID: e879e5de-838d-433d-935b-2b15b2aec344 Page 9/9 Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name Steven K Finch
Please Sign File(s) attached:
Executed on: (Date) 01/23/2023
#1..
- 381 -
Submission ID: 59d201a9-6a31-4c3a-9291-637cbf4cd091 Page 1/9 Community Police Review Board Application for Appointment 01/20/2023 2:25 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
- 382 -
Submission ID: 59d201a9-6a31-4c3a-9291-637cbf4cd091 Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
- 383 -
Submission ID: 59d201a9-6a31-4c3a-9291-637cbf4cd091 Page 3/9 Name Teresa Clutter
Mailing Address
City Modesto
State Ca
Postal Code 95355
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name Clutter Insurance Services
Job Title Broker
#1..
- 384 -
Submission ID: 59d201a9-6a31-4c3a-9291-637cbf4cd091 Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
3 years
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
No
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
- 385 -
Submission ID: 59d201a9-6a31-4c3a-9291-637cbf4cd091 Page 5/9 References
i. Name
Olivia Wise
Address
Portland, OR
Email Address
Phone Number
Relationship
Friend
ii. Name
Anna Padila
Address
Email Address
Phone Number
Relationship
Friend
#1..
- 386 -
Submission ID: 59d201a9-6a31-4c3a-9291-637cbf4cd091 Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
White: Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.
Gender Female
Age 31 to 50
#1..
- 387 -
Submission ID: 59d201a9-6a31-4c3a-9291-637cbf4cd091 Page 7/9 Do you have any educational institution information to add? No Do you have any professional
licenses / certificates to add?
Yes
Professional Licenses / Certificates
i. Description
Ca, NV, AZ, OR, UT, TX & MT Insurance License's
Please include anything further
you would like to add to your
application regarding your
educational background.
I am interested in serving on this panel and will give 100%. I am a resident of Modesto and a small business owner downtown.
#1..
- 388 -
Submission ID: 59d201a9-6a31-4c3a-9291-637cbf4cd091 Page 8/9 List any organizations or groups
that you belong to or are involved
with:
N/A
Briefly explain your interest in
serving on the Police Review
Board.
Seeking to assist with the City to prevent wrongful killings and/or police brutality.
Would like to have more resources for the people who are having Mental breakdowns and need help. Being I am a resident and business owner in Modesto, CA I want to insure that EVERY person here has a fair chance at the help they may need when they are having a Mental breakdown.
What personal experience or
qualifications will you bring to the
Police Review Board?
My real life experience with Paul Chavez is more than enough, as well as being a business owner for 16 years.
Please share examples of your
community involvement.
N/A
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
I can relate to all types of cultures and people as well as transients/homeless.
Im not afraid of speaking in public or one on one. I can relate to being a wife, mother of 4 and running 2 businesses.
Date of Birth 1972
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
#1..
- 389 -
Submission ID: 59d201a9-6a31-4c3a-9291-637cbf4cd091 Page 9/9 Type Your Name Teresa Clutter
Please Sign File(s) attached:
Executed on: (Date) 01/20/2023
#1..
- 390 -
Submission ID: eb222d99-c961-4bc0-b35d-05f0f7e0ce67 Page 1/9 Community Police Review Board Application for Appointment 01/13/2023 1:32 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
- 391 -
Submission ID: eb222d99-c961-4bc0-b35d-05f0f7e0ce67 Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
- 392 -
Submission ID: eb222d99-c961-4bc0-b35d-05f0f7e0ce67 Page 3/9 Name Terhesa M Gamboa
Mailing Address
City Modesto
State CA
Postal Code 95351
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name Retired
Job Title Neighborhood Watch Coordinator
#1..
- 393 -
Submission ID: eb222d99-c961-4bc0-b35d-05f0f7e0ce67 Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
45 years
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
Yes
Previous Boards or Commissions
i. Name of Board or Commission
Forward Together Work Group
Start Date
10/20/2021
End Date
06/15/2022
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
- 394 -
Submission ID: eb222d99-c961-4bc0-b35d-05f0f7e0ce67 Page 5/9 References
i. Name
Katherine Borges
Address
Salida, CA 95368
Email Address
Phone Number
Relationship
Friend
ii. Name
Terry Withrow
Address
Modesto CA 95354
Email Address
Phone Number
Relationship
Friend
#1..
- 395 -
Submission ID: eb222d99-c961-4bc0-b35d-05f0f7e0ce67 Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
White: Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.
Gender Female
Age over 51
#1..
- 396 -
Submission ID: eb222d99-c961-4bc0-b35d-05f0f7e0ce67 Page 7/9 Do you have any educational institution information to add? No Do you have any professional
licenses / certificates to add?
No
#1..
- 397 -
Submission ID: eb222d99-c961-4bc0-b35d-05f0f7e0ce67 Page 8/9 List any organizations or groups
that you belong to or are involved
with:
Woodland West Community Neighborhood
Briefly explain your interest in
serving on the Police Review
Board.
I served on the Forward Together Work Group and want to follow through, representing the interests of the community.
What personal experience or
qualifications will you bring to the
Police Review Board?
Neighborhood Watch Coordinator for 13 years. Involvement with law enforcement for over 25 years as a community advocate. Member of the Forward Together Work Group. Community organizing, previously served on StanCOG Citizens Advisory Committee.
Please share examples of your
community involvement.
Involvement with Neighborhood Watch, organization of Neighborhood Watch Group. Organized Woodland West Community Neighborhood. Helped to found Modesto Neighborhoods Inc and served on the board for several years.
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
Organize and hold public community meetings to inform the public and have civil open discussions.
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name Terhesa M Gamboa
#1..
- 398 -
Submission ID: eb222d99-c961-4bc0-b35d-05f0f7e0ce67 Page 9/9 Please Sign File(s) attached:
Executed on: (Date) 01/13/2023
#1..
- 399 -
Submission ID: cf055252-6605-4eab-af5c-d47c8cd123b0 Page 1/9 Community Police Review Board Application for Appointment 01/23/2023 6:43 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
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Submission ID: cf055252-6605-4eab-af5c-d47c8cd123b0 Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
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Submission ID: cf055252-6605-4eab-af5c-d47c8cd123b0 Page 3/9 Name Tim Ragsdale
Mailing Address
City Modesto
State CA
Postal Code 95350
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name NA
Job Title NA
#1..
- 402 -
Submission ID: cf055252-6605-4eab-af5c-d47c8cd123b0 Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
48 years
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
Yes
Previous Boards or Commissions
i. Name of Board or Commission
Board of Building Appeals
Start Date
02/25/2003
End Date
01/01/2015
ii. Name of Board or Commission
Charter Review Committee
Start Date
01/24/2020
End Date
12/31/2022
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
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Submission ID: cf055252-6605-4eab-af5c-d47c8cd123b0 Page 5/9 References
i. Name
Carl Collins
Address
Modesto Ca. 95354
Email Address
Phone Number
Relationship
Friend
ii. Name
Loren Suelzle
Address
Modesto CA 95356
Email Address
Phone Number
Relationship
Friend
#1..
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Submission ID: cf055252-6605-4eab-af5c-d47c8cd123b0 Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
White: Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.
Gender Male
Age over 51
#1..
- 405 -
Submission ID: cf055252-6605-4eab-af5c-d47c8cd123b0 Page 7/9 Do you have any educational institution information to add? Yes Educational Institution Information
i. Course of Study
BA Accounting and Economics, post graduate studies in business, career specific education in construction claims, construction litigation, mediation. continued learning in many areas of interest.
Degree Yes or No?
Yes
Please Describe your Degree
BA Accounting
Do you have any professional
licenses / certificates to add?
Yes
Professional Licenses / Certificates
i. Description
general contractor (retired),
Date Issued
04/15/1981
#1..
- 406 -
Submission ID: cf055252-6605-4eab-af5c-d47c8cd123b0 Page 8/9 List any organizations or groups
that you belong to or are involved
with:
Kiwanis Club of North Modesto, Spring Creek Golf & Country Club, Briefly explain your interest in
serving on the Police Review
Board.
This is new path forward for our community and will serve as models for others to follow. It is important that it be conducted in a manner that serves the entire community. I would like to add my objective perspective to the process.
What personal experience or
qualifications will you bring to the
Police Review Board?
Expert witness experience has sharpened my ability to view facts without prejudice and communicate them in an impartial manner. This experience was enhanced by an organized approach to gathering and documenting facts and other information. Ability to make decisions and implement policy that the facts point to.
Please share examples of your
community involvement.
Served as board member of: Home Builder’s Association of Central California, Valley Builder’s Exchange, Modesto Insurance Claims Association, Spring Creek Golf and Country Club. Gateway Rotary, Kiwanis Club of North Modesto.
Served as president: Gateway Rotary, Kiwanis Club of North Modesto, Modesto Claims Association, Spring Creek Golf & Country Club.
Chairperson City of Modesto Board of Building Appeals. Stanislaus Country Fire Appeals Board member.
Annual participant in Love Modesto and supporter of Gallo Center for the Arts.
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
I would promote dialogue and encourage the community that listening and understanding each point of view is the key to a vibrant relationship.
Date of Birth 1943
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
#1..
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Submission ID: cf055252-6605-4eab-af5c-d47c8cd123b0 Page 9/9 Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name Tim Ragsdale
Please Sign File(s) attached:
Executed on: (Date) 01/23/2023
#1..
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Submission ID: 0e71de6d-183f-4152-a5a9-5ff161e6671e Page 1/9 Community Police Review Board Application for Appointment 01/21/2023 4:04 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
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Submission ID: 0e71de6d-183f-4152-a5a9-5ff161e6671e Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
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Submission ID: 0e71de6d-183f-4152-a5a9-5ff161e6671e Page 3/9 Name Trish Christensen
Mailing Address
City Modesto
State CA
Postal Code 95354
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name Modesto Chamber of Commerce
Job Title President & CEO
#1..
- 411 -
Submission ID: 0e71de6d-183f-4152-a5a9-5ff161e6671e Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
34 years
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
Yes
Previous Boards or Commissions
i. Name of Board or Commission
Forward Together, Amgen LOC, SKUSA LOC
Start Date
06/01/2021
End Date
12/13/2022
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
- 412 -
Submission ID: 0e71de6d-183f-4152-a5a9-5ff161e6671e Page 5/9 References
i. Name
Michael Gaffney
Address
Email Address
Phone Number
Relationship
Associate - he sits on the Modesto Chamber board as immediate past chair ii. Name
Craig Orona
Address
Email Address
Phone Number
Relationship
Associate - He is CEO of the Boys and Girls Clubs of Stanislaus, which I am a board member of #1..
- 413 -
Submission ID: 0e71de6d-183f-4152-a5a9-5ff161e6671e Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
White: Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.
Gender Female
Age over 51
#1..
- 414 -
Submission ID: 0e71de6d-183f-4152-a5a9-5ff161e6671e Page 7/9 Do you have any educational institution information to add? No Do you have any professional
licenses / certificates to add?
No
Please include anything further
you would like to add to your
application regarding your
educational background.
I am in my third of a three year leadership academy, the Western Association of Chamber Executives Academy, which will earn me a professional designation in August upon graduation.
#1..
- 415 -
Submission ID: 0e71de6d-183f-4152-a5a9-5ff161e6671e Page 8/9 List any organizations or groups
that you belong to or are involved
with:
Stanislaus Partners in Education (SPIE)
Boys and Girls Clubs of Stanislaus County
Superintendents Key Communicators committee (MCS)
Community Advisory Committee (CAC) to the Stanislaus Regional Transit Authority’s (StanRTA)
MJC Business Advisory Committee
Briefly explain your interest in
serving on the Police Review
Board.
After serving on the Forward Together Advisory Committee, I feel it is appropriate and very worthwhile to continue on in service with this board. I believe our police officers need to be supported for their work, as much as community concerns and fears need to be heard. I believe common ground exists between the two, and when it seems it is missing, can be found by meeting in the middle to share and listen. I believe strong community involvement and presence by our officers, especially with our young people is critical to creating understanding and trust in our community.
What personal experience or
qualifications will you bring to the
Police Review Board?
Over the years of living in Modesto I have worked with MPD in a variety of ways:
community neighborhood safety issues, neighborhood watch programs, permits for community/SFJC victim's rallies/neighborhood events. I have been a community coordinator in many ways for a long time. Bringing people together for the greater/common good, while keeping focus on a positive outcome for the stakeholders involved is always my focus.
Please share examples of your
community involvement.
I was a part of the Local Organizing Committee (LOC) each time The Amgen Tour of CA came to Modesto.
I was a part of the LOC when SKUSA came to Modesto.
I have supported the Fire VS MPD rib cook offs for the Boys and Girls Clubs, and coordinated their Steak and Burger friend raisers.
I am involved with North Modesto Kiwanis, their American Graffiti Festival and parade, and have been a part of their marketing committee for the club and Graffiti events.
I've coordinated the Stanislaus County Family Justice Center Victims march and rally several times.
I have helped stage parades, done fundraising and half marathons to bring awareness to the need for cancer research support, as well as lead all fundraising and community outreach for Beyer Band Boosters for more than a decade.
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
I can contribute to this effort in a variety of ways such as: creating opportunity in partnership with the Boys and Girls Clubs to meet and engage with youth of many ages; Engaging our various education partners to host informational meetings, disseminating information to youth and/or families; Hosting meetings/events and sharing information via Chamber platforms and partners to the community; Inviting the CPRB to present to boards and organizations.
Date of Birth 1967
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement. #1..
- 416 -
Submission ID: 0e71de6d-183f-4152-a5a9-5ff161e6671e Page 9/9 Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name Trish Christensen
Please Sign File(s) attached:
Executed on: (Date) 01/21/2023
#1..
- 417 -
Submission ID: 54b2af10-e4ae-46f6-9c2e-4d91508561e4 Page 1/9 Community Police Review Board Application for Appointment 01/30/2023 5:11 PM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
- 418 -
Submission ID: 54b2af10-e4ae-46f6-9c2e-4d91508561e4 Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
- 419 -
Submission ID: 54b2af10-e4ae-46f6-9c2e-4d91508561e4 Page 3/9 Name Wendy Byrd
Mailing Address
City Modesto
State CA
Postal Code 95310
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name N/A
Job Title N/A
#1..
- 420 -
Submission ID: 54b2af10-e4ae-46f6-9c2e-4d91508561e4 Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
34 Years
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
Yes
Previous Boards or Commissions
i. Name of Board or Commission
Forward Together Committee
Start Date
08/01/2021
End Date
06/30/2022
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
#1..
- 421 -
Submission ID: 54b2af10-e4ae-46f6-9c2e-4d91508561e4 Page 5/9 References
i. Name
Police Chief Brandon Gillespie
Address
Email Address
Phone Number
Relationship
Local Police Chief
ii. Name
Michael Baldwin
Address
Modesto, CA, 95355
Email Address
Phone Number
Relationship
Colleague
#1..
- 422 -
Submission ID: 54b2af10-e4ae-46f6-9c2e-4d91508561e4 Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
Black or African American: Persons having origins in any of the black racial groups of Africa.
Gender Female
Age over 51
#1..
- 423 -
Submission ID: 54b2af10-e4ae-46f6-9c2e-4d91508561e4 Page 7/9 Do you have any educational institution information to add? Yes Educational Institution Information
i. Course of Study
Behavioral Science
Degree Yes or No?
Yes
Please Describe your Degree
Master's Degree of Behavior Science
Bachelors Degree of Science
Associate Degree of General Studies
Do you have any professional
licenses / certificates to add?
No
Please include anything further
you would like to add to your
application regarding your
educational background.
Over thirty years experience in equity, diversity and inclusion work Twenty years experience in community mobilization
Author of 1990 one- year youth study to identify alternatives to cruising authorized by the Modesto City Council following the banning of cruising on McHenry Avenue
Five years oversees experience in substance abuse counseling for theUS military
#1..
- 424 -
Submission ID: 54b2af10-e4ae-46f6-9c2e-4d91508561e4 Page 8/9 List any organizations or groups
that you belong to or are involved
with:
NAACP Modesto/Stanislaus President 2006-2010; 2020-Present Graduate, Leadership Modesto 2015
Graduate, American Leadership Forum 2008
American Leadership Forum Board of Directors 2009-2011
Stanislaus County Equal Rights Commissioner 1992-1994
Education Foundation of Stanislaus County Founding Board Member 2002 Briefly explain your interest in
serving on the Police Review
Board.
I have been an outspoken advocate against police brutality. I encouraged the establishment of a citizens review board with an independent auditor. I served on the Forward Together Ad-Hoc Committee. I am a solution oriented, measurable outcome oriented objective thinker. I have been active in the community for the past 34 years. I believe that I can bring a diverse set of skills to the committee as a result of my involvement within the community over the past 34 years. I believe that I have the right temperament, character and leadership experience to serve the committee and the community well. My interest is in building a better Modesto for all citizens, especially in the area of community/law enforcement relationships.
What personal experience or
qualifications will you bring to the
Police Review Board?
As An African American, I have life experiences unique to understanding crime in minority communities and how they are policed. I attended a three-day training with the Sacramento Police Dept. on community and police relations. I have gone on two ride alongs. I have family and friends who are police officers. I have a counseling and behavioral science background with the ability of looking at situations objectively. I was a substance abuse counselor for the military for five years. I have had substance abuse and mental health issues within members of my own family. I have had negative and positive encounters with the police myself. I am the parent of a black adult male and I continuously worry about what could happen if he runs into a bad cop. Just recently, while being on vacation in another city, I encountered a need to reach out to the police. I didn't because I was more afraid of asking the police for help than the situation I was in. I am a link between community and law enforcement.
Please share examples of your
community involvement.
Modesto Youth Study following Cruising, 1990
Stanislaus County Youth County Commissioner 1991-1993
Stanislaus County Mental Health Advisory Board 1992-1994 City of Modesto Youth Commission Advisor, 1992-2000
Education Foundation of Stanislaus County Founding Board Member, 2003- 2007
Stanislaus County Equal Rights Commissioner, 2004-2006
Martin Luther King Community Planning Committee, 2004-Present Youth Action Council Advisory Board, 2008-2010
Organizer of Not In Our Town Rally's & other college/community events while serving as Director of Student
Development and Campus Life, 2000-2011
American Leadership Forum Graduate & Board Member 2012-2014 Aspire Public Schools, Central Valley Board Member 2016 -2018 Charter Review Committee Member, 2019
Forward Together Work Group Committee Member, 2022
Member of John Harder Multicultural Advisory Committee, 2002 Previous member of the Hispanic Leadership Council and the Latino Community Roundtable
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Submission ID: 54b2af10-e4ae-46f6-9c2e-4d91508561e4 Page 9/9 Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
Example: I would assist the city and committee in developing outreach materials in multiple forms in order to keep the community informed. I would be a messenger and trusted leader in making announcements (when appropriate) about CPRB goals, opportunities, progress and results. I would use my voice and influence in a positive way to build bridges of understandings between community and law enforcement throughout my daily activities. Public safety is a two way street. There is no one single cause to problems, therefore, no one single solution. Calling the police is a reactionary approach. As a committee member, I would suggest other forms of intervention behavioral modification techniques to the CPRB and law enforcement. Policing can't be the only solution to changing behavior. I would work toward expanding our knowledge about best practices that reach the end goal so that when we are educating the community, we have a broader menu of responses to offer.
I will always speak the truth as I see it. I will communicate in an authentic, honest and outcome oriented manner. As president of the local NAACP, there may be times when I will need to speak out on certain issues. I will not neglect my responsibilities as a civil rights leader in that capacity. I would approach dual roles with professionalism and sensitivity.
Date of Birth 2022
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name Gwendolyn Kay Byrd AKA Wendy Byrd
Please Sign File(s) attached:
Executed on: (Date) 01/27/2023
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Submission ID: 30ca8a97-48e5-4cf4-ac93-890f60499125 Page 1/9 Community Police Review Board Application for Appointment 01/28/2023 11:45 AM (PST)
Application for Appointment on the Community Police Review Board The Modesto Community Police Review Board (CPRB) has been established, under the authority of the City Council, to improve police/community relationships, expand the public’s ability to provide feedback on police accountability, allow for greater civic engagement and further increased awareness of police services and operations. Through the City’s independent auditor, the CPRB will review critical incidents, receive timely notifications of major incidents, review police practices and policies, and serve as an advisory body. The CPRB shall be comprised of nine (9) members who reside within the city limits with preference provided to residents representing diverse ethnicity, gender, sexual orientation, professional experience, organizational affiliations, and neighborhoods/districts in Modesto.
Participate in an initial 20-40 training program provided by the Modesto Police Department (MPD) and other sources.
Conduct monthly public meetings to promote community engagement and to afford the public regular opportunities to provide feedback and receive updates.
Receive complaints from members of the public and directly refer those complaints to the City Manager for investigation by MPD.
Participate in community meetings hosted by MPD following major incidents and be provided the opportunity to explain the role of the CPRB, as necessary.
Conduct regular community engagement and outreach, with each member required to participate in events which raise awareness of the CPRB, and those focused on youth and improving police/community relationships.
Sign and abide by a confidentiality/non-disclosure agreement.
Comply with all applicable state and federal laws regarding confidentiality.
Refer to Board Bylaws (PDF) for full list of responsibilities.
Meetings
Board will meet every third Thursday of the month at 5:00PM (Location may vary).
CPRB members shall be registered electors of the City and each will have active involvement or interest in improving the relationship between MPD and the Modesto community.
As part of the selection process, the Appointments Committee will conduct interviews of all CPRB applicants.
All appointments to the CPRB shall be recommended by the City’s Appointments Committee and approved by the City Council.
No Member of the CPRB shall be an employee of the City, nor of any bargaining unit for employees of the City, nor a person who receives compensation from the City.
No Member of the CPRB shall be a relative, by blood or marriage within the third degree of the Mayor, a Councilmember, a Charter Officer, or any Department Director.
All Members must complete a Statement of Economic Interest (Form 700) by April 1 of each year and when assuming or leaving CPRB membership.
Members must reside in the City of Modesto for at least one year prior at the time of appointment and must reside in the City of Modesto during the entire tenure of service and be at least 18 years of age at the time of the application submittal.
Members will be expected to be fair, impartial and unbiased, committed to community service, ability to build working relations, and communicate effectively with diverse groups.
All applicants for the CPRB will be subject to background checks.
CPRB members shall not hold a current sworn officer position or be an employee of any law enforcement agency.
Retired or former Modesto Police Department personnel shall not be eligible to serve on the CPRB.
Refer to the Board Bylaws (PDF) for full list of eligibility requirements. #1..
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Submission ID: 30ca8a97-48e5-4cf4-ac93-890f60499125 Page 2/9 Members shall serve for a term of four years. If reappointed, incumbent members may serve a second, fouryear term. Special consideration shall be given first to eligible incumbent members, then to eligible applicants. Each member is to hold office for no more than two terms consecutively.
Members of the CPRB may be removed by a majority vote of the City Council.
Refer to the Board Bylaws (PDF) for full Terms of Office.
Application Deadline
Applications must be submitted to the City Manager’s Office or submitted online no later than close of business on January 31, 2023. All candidates will be notified within 30 days of the application closing period #1..
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Submission ID: 30ca8a97-48e5-4cf4-ac93-890f60499125 Page 3/9 Name William Bell
Mailing Address
City Modesto
State CA
Postal Code 95350
Email Address
Primary Phone Number
Are you a paid employee of the
City of Modesto?
No
Present Employer Name Stanislaus Foods
Job Title EMT
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Submission ID: 30ca8a97-48e5-4cf4-ac93-890f60499125 Page 4/9 Do you reside within Modesto City Limits? Yes
How long have you lived in the
City of Modesto?
38 years
Have you previously served on
any Board, Committee or
Commission for the City
Modesto?
No
The City prohibits Community
Police Review Board members
who have active litigation or a
claim against the City of
Modesto. Do you currently have
any pending claims or lawsuits
against the City?
No
No person retired peace officer
from the Modesto Police
Department or previously
employed by the Modesto Police
Department is eligible for
appointment. Are you currently
employed or have you been
previously employed by the
Modesto Police Department as a
sworn officer?
No
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Submission ID: 30ca8a97-48e5-4cf4-ac93-890f60499125 Page 5/9 References #1..
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Submission ID: 30ca8a97-48e5-4cf4-ac93-890f60499125 Page 6/9 The below demographic information is optional. Proceed to the next page if you do not wish to provide your demographic information at this time.
The racial/ethnic category which
you most closely identify with:
White: Persons having origins in any of the original peoples of Europe, North Africa, or the Middle East.
Gender Male
Age 31 to 50
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Submission ID: 30ca8a97-48e5-4cf4-ac93-890f60499125 Page 7/9 Do you have any educational institution information to add? Yes Educational Institution Information
i. Course of Study
Emergency Med
Degree Yes or No?
No
Do you have any professional
licenses / certificates to add?
Yes
Professional Licenses / Certificates
i. Description
EMT
Date Issued
03/28/2001
Please include anything further
you would like to add to your
application regarding your
educational background.
I’m an oldie but goodie at what I do.
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Submission ID: 30ca8a97-48e5-4cf4-ac93-890f60499125 Page 8/9 List any organizations or groups
that you belong to or are involved
with:
I don’t belong to any group I don’t have time too.
Briefly explain your interest in
serving on the Police Review
Board.
I am wanting to be a positive role in building up Modesto. I could either complain about everything or do something about it.
What personal experience or
qualifications will you bring to the
Police Review Board?
I’m a business owner I have been in the EMS for over 40 years and I get the job done asap
Please share examples of your
community involvement.
You name it I did it from the Red Cross as a Volunteer to Instructor Disaster Team
Board members will be expected
to engage in community outreach
and education activities in an
effort to build relationships with
the Police Department. Give an
example of how you will work
towards building relationships
with the public to educate them
about the role of the CPRB.
Public speaking is my experience I’m non bias I am bipartisan on many issues and I connect very well with everyone because I have been teaching CPR and EMR training programs for many years now.
Date of Birth 2023
Police Review Board candidates must undergo a background check prior to serving on the Board. The background check takes approximately 30 days to complete. If selected to participate, you will be contacted with instructions to complete a background check.
Please check the boxes below to agree to the terms of this requirement.
Background Declaration
Statement
I hereby authorize the City of Modesto to investigate my background and qualifications for purposes of evaluating whether I meet the qualifications for participation as a member of the Community Police Review Board, including accessing my state and federal criminal background records. I understand that the City of Modesto will utilize an outside firm or firms to assist it in checking such information, and I specifically authorize such an investigation which will also include fingerprinting by information services and outside entities of the City's choice. I also understand that I may withhold my permission and that in such a case, no investigation will be done, and I will not be eligible to serve as a representative on the Community Police Review Board for the City of Modesto.
Statements in Application I declare, under penalty of disqualification and termination, that all statements in this application are true and correct to the best of my knowledge. I further declare that if I am appointed, I will commit the necessary time to carry out the duties of the CPRB and serve fairly, impartially, and to the best of my ability.
Public Records Declaration
Statement
I further acknowledge that information contained in this application is a public record and may be subject to public inspection pursuant to the California Public Records Act (CA Gov. Code §6250 et seq.).
Form 700 Requirement Members will be subject to filing annual Statements of Economic Interest (Form 700) pursuant to provisions of the California Political Reform Act of 1974.
Type Your Name William Bell
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Submission ID: 30ca8a97-48e5-4cf4-ac93-890f60499125 Page 9/9 Please Sign File(s) attached:
Executed on: (Date) 01/28/2023
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