OCT 14 '25 Ai>i8:31
REC'D CHY CLERKS OFFIC
APPLICATION FOR APPOINTIVE POSITION
FOR OFFICE USE ONLY
Resioence Distrjy\A, \Q
Verified by
CITY OF NEWPORT BEACH
100 Civic Center Drive
Newport Beach, CA 92660
City Clerk (949) 644-3005
Fax (949) 644-3039
DIRECTIONS: One application can be used for all the appointive positions you are applying for. Applications should be filled out completely so that the City Council may fully evaluate your qualifications. It is the responsibility of the applicant to familiarize themselves with the duties and responsibilities of the position(s) applied for. Detailed information outlining the responsibilities of the positions can be obtained from the City Clerk's Office or on the City's website: www.newportbeachca.gov (City Government/Boards, Commissions and Committees). Applications will be kept on file for two years for the position(s) applied for. If you are not selected for appointment during that period of ti me, it will be necessary for you to re-submit an application if you are still interested in being considered.
NOTICE: Section 702 of the City Charter requires that members of Boards or Commissions appointed by the City Council shall be from the qualified electors of the City. This document is a public record and may be posted on the internet.
NAME OF BOARD, COMMISSION OR COMMITTEE:! L. C_i.....:ty:....._A_rt_s_C_o_m_m_i_s_s_io_n _____________ __, Name: .... I B_a_rz_i ___________ ___, ,__IB_ob__;by ____ ____,I .__I ___ __. (Last) (First) (Middle)
Residence Address (required): Zip Code:------�
How long have you lived in Newport Beach? 130 years Home/Cell#:
Business Address: Business Phone: I I I I I I I I I I I I I Email Address:
Have you ever been convicted of any crime or violation of any law or statute other than minor traffic violations? i] NO O YES (If yes, attach separate sheet with explanation) NOTICE: Pursuant to Section 702 of the City Charter, no members of boards or commissions shall hold any paid office or employment in the City government.
Do you currently hold any paid office or employment with the City of Newport Beach, including but not limited to contracted services? [i] NO O YES (If yes, attach separate sheet with explanation) If applying for a position on the Finance Committee, have you ever declared bankruptcy? Ill NO □ YES Please state any past, current or foreseeable future financial interests of any kind that may conflict with the Board, Commission or Committee you are applying for.
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