MORENO VALLEY GLERK
MOR '25 JUL 15 AM9:58
City of Moreno Valley
City Council Advisory
Boards and Commissions
Stamp and is Reconned
Membership Application Form
Name: DAVIV TORRES
Home Address:
MORENO VALLEY CA 92555
City Council District: 4
How long have you resided in Moreno Valley? 23 years
ELIGIBILITY
Are you at least 18 years of age? Yes›ENo O
Are you a registered voter of the City of Moreno Valley? Yes No D Do you authorize the City to process a criminal background check? Yes No O
EMPLOYMENT
Employer: RETIRED
Address:
Position:
VOLUNTEER SERVICE
Name of Organization:_ MORENO VAUEM LIBRARY
Purpose: SHELVE BOOKS, ETC
Title: VOLUNTEER
Length of Time: 1/2024 - present
1 Revised June 10, 2025
BOARD OR COMMISSION INFORMATION
Board or Commission applying for*:
ya Choice Librarry
2nd Choice-
3d Choice
*If applying for the Accessibility Appeals Board, please indicate which position you are applying for. • Physically Challenged Member • Member Experienced in Construction • Public Member
*If applying for the Utilities Commission, please indicate which position you are applying for:
• Public Member Customer of Moreno Valley Utility
Business Customer of Moreno Valley Utility
Do you currently serve on a City Board or Commission? Yes 14 No • A. If yes, please list: Library Commiss an - Alternate
Have you previously served on a City Board or Commission? Yes No A. If yes, please list:
Do you have any immediate family members serving on the city council or employed with the City of Moreno Valley? Yes O NoXL
Can you attend evening meetings (6:00 pm - 9:00 pm) at least once or twice a month? Yes ENo D Are there days you cannot attend evening meetings? Yes NoT A. If yes, please list:
List any education, training, or special skills you have which may be relevant or of particular benefit to this Board and/or Commission:
PREVIOUS LIBRARY EMPLOYMENT, FUMERTON PUBLIC
LIBRARY. 1979-1992,
MVPL volunteer and brany Commissim Alternate
2 Revised June 10, 2025
ACKNOWLEDGEMENT
ubmitting this applicatio
CERTIFICATION
Any le stallmets of material fact i sure me to sual on or is miss apole. I understand that 7/14/2025
Print Name/Signature Date
All Applications shall be submitted to the City Clerk's office at Moreno Valley City Hall - located at 14177 Frederick St., Moreno Valley, CA 92553 - during regular office hours (7:30 a.m. to 5:30 p.m., Monday through Thursday and 7:30 a.m. to 4:30 p.m. Friday). Alternatively, applications may be submitted by mail or electronically via the City Clerk's email [email protected].
Background Check Authorization
As part of the application process for service on a City Advisory Board, a criminal background check will be conducted through the California Department of Justice. Please be advised that you will not be provided with a copy of the criminal background information received from the Department of Justice unless you are deemed Attachment: Legislative Policy #1.10 - City Council Advisory Boards and Commissions 3 Revised June 10, 2025