City of Moreno Valley MORENO VALLEY CLERK
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City Council Advisory
DECEMBER 3, 198 Boards and Commissions
Membership Application Form
Name: Esther (EJ) Johnson
Home Address:
Moreno Valley, CA 92557
4 City Council District:
How long have you resided in Moreno Valley? Since May 2017
ELIGIBILITY
Are you at least 18 years of age? Yes • No O
Are you a registered voter of the City of Moreno Valley? Yes E No O Do you authorize the City to process a criminal background check? Yes • No O
EMPLOYMENT
VOLUNTEER SERVICE
Name of Organization: University of California Office of the President Purpose: Implicit Bias Awareness and to reduce/eliminate in workforce Facilitator
Length of Time: 4 years
1 Revised June 10, 2025
BOARD OR COMMISSION INFORMATION
Board or Commission applying for*:
1st Choice Traffic and Safety
2nd Choice Emerging Leaders Council
3rd Choice Senior Citizens' Commission
*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 E No D A. If yes, please list: Traffic and Safety Commission
Have you previously served on a City Board or Commission? Yes • No D A. If yes, please list: Traffic and Safety Commission and Do you have any immediate family members serving on the city council or employed with the City of Moreno Valley? Yes • No E
Can you attend evening meetings (6:00 pm - 9:00 pm) at least once or twice a month? Yes & No D Are there days you cannot attend evening meetings? Yes • No • 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:
I am currently and have been serving as a Traffic and Safety Commissioner since 2018. I am and like to continue to service our community by hearing their concerns and partnerining with them to determine resolutions to issues concerning safety for children, residence, and the community.
2 Revised June 10, 2025
ACKNOWLEDGEMENT
I acknowledge that I was provided with the attached copy of Legislative Policy #1.10 (City Council Advisory bards and Commissions) and offered an opportunity to ask questions regarding any of its provisions prior abmitting this applicatio
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 subiect me to disqualification or dismissal if appointed. 8/6/2025
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