OF MORENO
City of Moreno Valley
City Council Advisory MORENO VALLEY CLERK
DECEMBER 3, 0984 Boards and Commissions 125 AUG 15
PM2:31
Stamp Bate and Tima Received
Membership Application Form
Name: Lobeph Japlin
Home Address:
moreno valley CA 92555
City Council District: -
How long have you resided in Moreno Valley? -
ELIGIBILITY
Are you at least 18 years of age? Yes No O
Are you a registered voter of the City of Moreno Valley? Yes No O Do you authorize the City to process a criminal background check? Yes a No D
VOLUNTEER SERVICE
Name of Organization:
Purpose:
Title:
Length of Time: -
1 Revised June 10, 2025
•
•
BOARD OR COMMISSION INFORMATION
Board or Commission applying for*:
1st Choice
• Passion com seide and Tres 1 6.P.
2nd Choice -
3r 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 No E A. If yes, please list:
Have you previously served on a City Board or Commission? Yes No D 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 • No M
Can you attend evening meetings (6:00 pm - 9:00 pm) at least once or twice a month? Yes L No O Are there days you cannot attend evening meetings? Yes NO L 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:
whenit comes to suitability l have lived in moreno valley since 1990. 1 have had active engagment in community affairs, and been able to see the changes in Zoneing and general plans. lam a pastor, lam a critical thinker, very good Problem-Solving and decision making Shills, Public administration and experience with Envisonmental Review Process.
2 Revised June 10, 2025
ACKNOWLEDGEMENT
submitting this application
CERTIFICATION
I certify that all statements in this application are true and complete to the best of my knowledge. I understand that any false statements of material fact will subject me to disqualification or dismissal if appointed 8-15-2025
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 ineligible due to a disqualifying criminal conviction.
Attachment: Legislative Policy #1.10 - City Council Advisory Boards and Commissions 3 Revised June 10, 2025