Hammon Senior Center Board of Directors
Friday, February 17, 2023
Interview Panel
City Council Members: Mayor Michael Clauzel and Mayor Pro Tem Carlos Roque
TIME CANDIDATE
11:20 – 11:35 p.m. Gabriela Fernandez (zoom)
5-minute break
11:40-11:55 p.m. Cynthia Homen
5-minute break
12:00 – 12:15 p.m. Gay Girard
5-minute break
12:20 – 12:35 p.m. Pat Maisetti
5-minute break
12:40 – 12:55 p.m. Annete Randle
5-minute break
1:00 – 1:15 p.m. Alfred Parham
5-minute break
1:20 – 1:35 p.m. Darwin Derosans
5-minute break
1:40 – 1:55 p.m. Ruben Ramirez
Hammon Senior Center Board of Directors has three (3) open seats for appointment or reappointment. All seats are two year terms.
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Com m ission/Com m ittee/Boa rd
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appointment
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Name of Commission/Co mmittee/Board
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Name of Applicant
Residence Street Address
Mailing Address zip_
Phone (home
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Ex perience or Special Knowledge Pertainin g to Area of lnterest (n0.^ Length of time at residence
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A resume containing other pertinent information about yourself would be helpful to the City Council in evaluating your application (Optional).
APPLICATION CERTIFICATION: PTEASE READ BELOW BEFORE SIGNING.
Date / I
. e4. 1)a Signature
File this application with The City Clerk of the City of Patterson P.O. Box 557
1 Plaza,2nd Floor
Patterson, CA 95353
Web Site www.ci.oatterson.ca.us Email [email protected] Direct No. (209) 895-8014
I certify that the statements made by me in this application are true, complete, and correct to the best of my knowledge and belief. t understand that statements made are subject to verification and that any misrepresentation, fraud, or omission of material facts may result in denial of appointment/reappointment' I hereby authqrize representatives of the City of Patterson to contact organi2ations (including employers and schools) and individuals listed, for the purpose of establishing or verifying my qualifications and work history in connection with this applicatlon. I understand and acknowledge that such information will be used confidentially and for the purpose of appointment/reappointment decisions only.
I understand and hereby accept that if the City Council of the City of Patterson appoints/reappoints me to a City of patterson Commission/Committee/Board, I will serve without pay and will be subject to the filings of the Fair Political practices Commission (Staterriert o, Economic lntercsr., Form 7(nl. lherebyfurther understand and accept that per City Ordinance No.718, if lam appointed/reappointed, I will be required to pass a Department ofJustice (DOJ) fi ngerprint (background) test.
(The City Clerk's Office will keep your application on file for one (1) year from the date stamped received) Com m ission/Com m ittee/Boa rd
Application for Appointment or Reappointment
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A resume containing other pertinent information about yourself would be helpfulto the City Council in evaluating your application (Optional).
APPIICATION CERTIFICATION: PLEASE REAO BELOW BEFORE SlGNlNG.
I certify that the statements made by me in this application are true, complete, and correct to the best of my knowledge and belief. I understand that statements made are subject to verification and that any misrepresentation, fraud, or omission of material facts may result in denial of appointment/reappointment.
I hereby authorize representatives of the City of Patterson to contact organizations (including employers and schools) and individuals listed, for the purpose of establishing or verifying my qualifications and work history in connection with this application. lunderstand and acknowledge that such information will be used confidentially andforthe purpose of appointment/reappointment decisions only.
I understand and hereby accept that if the City Council ofthe City of Patterson a ppoints/reappo ints me to a City of Patterson Commission/Committee/Board, I will serve without pay and will be subject to the filings of the Fair Political Practices Commission l'totement oI Economic lnterest, Form 7d)1. lherebyfurther understand and acceptthat per City Ordinance No. 718, if I am appointed/reappointed, I will be required to pass a Department of Justice (DOJ) fingerprint (background) test.
Date Signatu re
The City Clerk of the City of Patterson
P.O. Box 667
l Piaza, 2nd Floor
Patterson, CA 95363
Web Site www.ci. patterso n.ca. us Email [email protected] Direct No. (209) 895-8014
(The City Clerk's Office will keep your application on file for one (1) year from the date stamped received) a
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File this application with:
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Do you have any financial or professional interest or association related to this position? lf yes, please explain.
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When are you available to attend this com mission/committee/boa rd regular and/or special meetings? P lease thr e nu m bers:
Phone
Phone
Phone
D ate Signatu
File this application with The City Clerk of the City of Patterson P.O. Box 667
1 Plaza, 2nd Floor
Patterson, CA 95363
Web Site www.ci. oatterson .ca.us Email [email protected] Direct No. (209) 89s-8014
(The City Clerk's Office will keep your application on file for one (1) year from the date stamped received) 6 t--{G 1q2
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A resume containing other pertinent information about yourself would be helpful to the City Council in evaluating your application (Optional).
APPLICATION CERTIFICATION: PLEASE READ BELOW BEFORE StGNtNG.
I certify that the statements made by me in this application are true, complete, and correct to the best of my knowledge and belief. I understand that statements made are subject to verification and that any misrepresentation, fraud, or omission of material facts may result in denial of appointment/reappointment.
I understand and hereby accept that if the City Council of the City of Patterson appoints/reappoints me to a City of Patterson Commission/Com mittee/Board, I will serve without pay and will be subject to the filings of the Fair Political Practices Commission l'totement ol Economic lnterest, Form 7001. I hereby further understand and accept that per City Ordinance No. 718, if I am a ppo inted/rea p pointed, I will be required to pass a Department of Justice (DO.J) fingerprint (background) test.
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I hereby authorize representatives ofthe City of Patterson to contact organizations (including employers and schools) and individuals listed, for the purpose of establishing or verifying my qualifications and work history in connection with this application. I understand and acknowledge that such information will be used confidentially and for the purpose of appointment/reappointment decisions only.
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Name of Commission/Committee/ gq3r6 Senior Center Board of Directors Appointment Reappointment
Name of Applicant Gay Girard (Gait)
Residence Street Address 9240 Panoz Court City Patterson zip j!!99__ Ma iling Address 9240 Panoz Court ci Patterson zi 95363 Phone (home)....-- (ce[) 510 709 5055
Email Address [email protected]
Employer Retired
Experience or Special Knowledge pertaining to Area of lnterest Have b€en volunteering at the Senior Cenler since May of 2022 working with Seniors on Have been working as a volunteer of the patterson a
I thlnk that Senior Centers are a valuable resource
Employment Experience
Worked for Hewlett Packard in
Center management for the last 1O
in their lT departrnent, and for a number of sta
Organization, Community and/or pu
Member of the Patterson Friends of the
(work)
Length of time at residence 12 years
computer skills and basic computing
uatics department teaching Senior Water Aerobics.
for our communities, allowing seniors to rnake friends and socialize in a safe place various rohs over a 22 year period. lwas a project Manager specializing in lT Supporl and Data years of my career. I also worked for IBM as a systems engineer, Siena pacific lnd q
rtup companies over a lon
blic Service Experience
Library. Volunteer at the Sen
s career in lT and project management.
ior center teaching computer basics
Education (high school, college, trade school or training) Note; There is no specific educational requirement
Washington High School - Fremont . CA Ohlone Jr College - Genelal Education units Certiticate in Telecommunications UCSF Mastors C€rtificate in project Manageme nt - George Washinglon Schod of Business 2OO5 Various certifications and t aining in Microsoft products, networking , high availabilitv networking and storage invironments lf yes, please explain.
Application for Appointment
Do you have any financial or professional interest or association related to this position? E ,"r_EL*o When are you available to attend this commission/committee/board regular and/or special meetings? As needed by the board Please list three references with telephone numbers:
1. Barbara Hartsell phone 209 535 2'131
2. Steven Foley
3. Lora Brazil phone 209 602 2400
A resume containing other pertinent information about yourself would be helpful to the caty council in evaluating your application (Optional).
APPLICATION CERTIFICATION: PLEASE READ BEtow BEFoRE SIGNING.
I certify that the statements made by me in this application are true, complete, and correct to the best of my knowledge and belief. I understand that statements made are subject to verification and that any misrepresentation, fraud, or omission of material facts may result in denial of appointment/reappointment.
I hereby authorize representatives of the city of Patterson to contact organizations (including employers and schools) and individuals listed, for the purpose of establishing or verifoing my qualifications and work history in connection with this application. I understand and acknowledge that such information will be used confidentially and for the purpose of appointment/reappointment decisions only.
I understand and hereby accept that if the city council of the city of Patterson appoints/reappoints me to a city of Patterson Com mission/Committee/Board, I will serve without pay and will be subject to the filings of the Fair political Practices commission (stotement oI E@nomlc tnterest, Form 7 )1. I hereby further understand and accept that per city ordinance No. 718, if I am appointed/reappointed, I will be required to pass a Department ofJustice (DoJ) fi ngerprint (background) test.
931" January 25, 2023 Signature 4
File this application with: The City Clerk of the City of Patterson P.O. Box 657
1 Plaza,2nd Floor
Patterson, CA 95363
Web Site www.ci.oatterson.ca.us Email [email protected] r50n.ca.us Dired No. (209) 895_8014
(The City Clerk's Office will keep your application on file for one (1) year from the date stamped received) Phone 916 580 8307
Commission/Commi $g2ffi's.Ofrke __
Date Rec€lved -!.31136
Application for Appointment Eunifu
(This is a Public Record Subject to Disclosure)
Name of Comm ission/Comm ittee/Boa rd
Appointment Reappointment
Name of Applicant
Residence Street A aAress *D L Al^nn I Ar't€. Ci
Mailing Address 3o-rn a City
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phone (home)- (cettl ?€ ?- I b- L/ b ?,* lworxl
Email Address Length of time at residence o
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Employment Ex nence
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Education (high school, college, trade school or training) Note: There is no sp ific e ucatio lrequirement
Do you have any financial or professional interest or association related to this position? l-l lf yes, please explain
Yes No
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When are you availa letoa end th is com mission/com m ittee/boa rd regular and/or speci al meetings? L
2 3
PI se list three references with telep hone numbers:
., Phone
Phone
Phone
A resume containing other pertinent information about yourself would be helpful to the City Council in evaluating your application (Optional).
APPIICATION CERTIFICATION: PLEASE READ BETOW BEFORE StGNtNG.
I certify that the statements made by me in this application are true, complete, and correct to the best of my knowledge and belief. I understand that statements made are subject to verification and that any misrepresentation, fraud, or omission'of material facts may result in denial of appointment/reappointment.
I hereby authorize representatives of the city of Patterson to contact organizations (including employers and schools) and individuals listed, for the purpose of establishing or verifying my qualifications and work history in connection with this application. I understand and acknowledge that such information will be used confidentially and for the purpose of appointment/reappointment decisions only.
I understand and hereby accept that if the City Council of the City of Patterson appoints/reappoints me to a City of Patterson Commission/Committee/Boa rd, I will serve without pay and will be subject to the filings of the Fair politlcal Practices commission (stdtement ol Economic lnterest, Form 7(nl. I hereby further understand and accept that per City Ordinance No. 718, if I am appointed/reappointed, I will be required to pass a Department of Justice (DOJ) fingerprint (background) test
Date Signatu r
File this application with: The City Cle of the City of Patterson P.O. Box 667
1 Plaza, 2nd Floor
Patterson, CA 95363
Web Site www erson.ca.us Email citvclerk @ci. patterson.ca. us Direct No. (209) 895-8014
(The City Clerk's office will keep your application on file for one (1) year from the date stamped received) Clty Gledds Ofiice
Commission/Commi
lnltlab
Application for Appointment or Reappointment
(This is a Public Record Subject to Disclosure)
zipName of Com mission/Comm ittee/Boa rd
Appointment Rea p
Name of Applicant
Residence Street Address
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ization, Com ity an Public rvice erience
Education (high school, c ge, trade school or training) Note: There is no specific educational requirement
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Do you have any financial or professional interest or association related to this position? lf yes, please expla in,
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When re you available to a nd t commission mmittee/board regul nd/or special meetings? PIea
1. 2.
3. thr eferenc telephone numbers:
Phone
Phone
Phon
A resume containing other pertinent information about yourself would be helpful to the City Council in evaluating your application (Optional).
APPtICATION CERTIFICATION: PLEASE READ BELOW EEFORE SIGNtNG.
I certify that the statements made by me in this application are true, complete, and correct to the best of my knowledge and belief. I understand that statements made are subject to verification and that any misrepresentation, fraud, or omission of material facts may result in denial of a ppo intment/rea p pointme nt.
I hereby authorize representatives of the City of Patterson to contact organizations (including employers and schools) and individuals listed, for the purpose of establishing or verifying my qualifications and work history in connection with this application. lunderstand and acknowledge that such information will be used confidentially andforthe purpose of appointment/reappointment decisions only.
I understand and hereby accept that if the City Council of the City of Patterson appoints/reappoints me to a City of Patterson Commission/Committee/Board, I will serve without pay and will be sub.iect to the filings of the Fair Political Practices Commission (Stotement ol
City Ordinance No.718, if lam appoi
Economic lnterest, Form 7001. I hereby fu and and accept that per nted/reappointed, I will be required ass a Departm t of.lustice (DOJ) fingerprint (backgrou )test.
8 Date Signature
File thi a ppli on with: The City Clerk
P.O. Box 667
the ty of Patterson
l Plaza,2nd Floor
Patterson, CA 95363
Web Site www.ci.patterson. ca.us Email [email protected] ca, us Direct No. (209) 895-8014
(The City clerk's Office will keep your application on file for one (1) year from the date stamped received) % City Clerk's Office
Date Recelved | 'E L -&3
Time 3:qo
lnitials fflq
Name of Commission/Com mittee/Board Hammon Senior Center Board of Directors Reappointment
Residence Street Address 41 Sanderling Drive City Patterson 7 rp 95363 Mailing 466r"rr Same zip-.
Phone (home)_ (cell 209-262-9998 (work)
Employ",
Relired
Experience or Special Knowledge Pertaining to Area of lnterest Served on Hammon Senior board of directors - Vice President - Senior Center center volunteer - 11 yrs. - Friday program Bingo Caller - English/Spanish -
Employment Experience
Executive level experience. City ol Oakland, Berkeley, Ricfimond, Calibmia - Admiistaton ot Becreation and Senior programs have fallen under my span of control -
Organization, Community and/or Public Service Experience I have held the office of Council Member, City of Patterson Ca. - 2017-2018,2021-2022 - I have held other high level public service positions
Do you have any financial or professional interest or association related to this position? lf yes, please explain.
Yes No
'%-#
Appointment
Name of Applicant Alfred O Parham
Email Address altd_pffi Length of time at residence 12 Yrs.
Education (high school, college, trade school or training) Note: There is no specific educational requirement
Post Graduate
1 2
3 When are you available to attend this commission/committee/board regular and/or special meetings? Per schedule of committee/commission (open)
Please list three references with telephone numbers:
Dennis McCord p1.,on" 209-226-8991
Louis Molina ph6ns 209-681-1937
Eun-Joo Myung ph6ns 510-61 0-41 50
A resume containing other pertinent information about yourself would be helpful to the City Council in evaluating your application (Optional).
APPLICATION CERTIFICATION: PTEASE READ BETOW BEFORE SIGNING.
I hereby authorize representatives of the City of Patterson to contact organizations (including employers and schools) and individuals listed, for the purpose of establishing or verifying my qualifications and work history in connection with this application. I understand and acknowledge that such information will be used confidentially and for the purpose of appointment/reappointment decisions only.
I understand and hereby accept that if the city council of the City of Patterson appoints/reappoints me to a city of Patterson Commission/Committee/Board, I will serve without pay and will be subject to the filings of the Fair Political Practices Commission (Stotement ol Economic lnterest, Form 7d)1. I hereby further understand and accept that per City Ordinance No. 718, if I am appointed/reappointed, I will be required to pass a Department of Justice (DOJ) fingerprint (background) test.
pr,. January 5, 2023 Signature
File this application with: The City Clerk of the City of Patterson P.O. Box 667
l Plaza,2nd Floor
Patterson, CA 95363
Web Site Email
Direct No. (209) 895-8014
I certify that the statements made by me in this application are true, complete, and correct to the best of my knowledge and belief. I understand that statements made are subject to verification and that any misrepresentation, fraud, or omission of material facts may result in denial of appointment/reappointment. (The City Clerk's Office will keep your application on file for one (1) year from the date stamped received) Com m ission/Com m ittee/Boa rd
Application for Appointment
(This is a Public Record Subject to
Name of Comm ission/Com mittee/gor..6Hammond Senior Center Board Appointment Reappointment
Name of App;;..n1 Gabriela Fernandez
3 ,Tlme
1 lnhlals
Residence street Address1529 Daisy Dr C
atterson zip95363
Mailing Address 1529 Daisy Dr Patterson zip95363
Phone (home) 209 402-6536 (ce ll) (work)
Email Add ress gaby@ lovestanislauscounty.org Length of time .1 |."r16"n."10 Years Employe]. Love Stanislaus County
Experience or Special Knowledge Pertaining to Area of lnterest I have experience as a commissionerohair-term 2O2O-2O23 I have experience wilh Co-Chairing for Love Patterson Committe I have knowledge of many resources for seniors as I am a specialisl for seniors initialive through out Stanislaus County Employment Experience
Love Stanislaus County - Director - Seniors lnitiative 2022-cvtenl Emanuel Medical Center - Patient Advocate - Certified Enrollment Counselor 2013-2022 Emanuel Medical Center - Hospital Path To Health Representative 2013-2022 Organization, Community and/or Public Service Experience Volunteer with Love Patterson and Love Modesto events.
Volunteer at Naomis house - multiple events
CEBT - completed CERT program through Pattersons firerighler deparlment - community emergency response team Education (high school, college, trade school or training) Note: There is no specific educational requirement
Heald Business college- AAS - N/ledical Business Administration - 2004 WISE/ALAS program - Business certiticate and congressional recognition - Business certificate 2011 CERT - Cenificate - City of Patterson
Do you have any financial or professional interest or association related to this position? lf yes, please explain.
Yes No
Ofike
When are you available to attend this com mission/com mittee/board regular and/or special meetings? lam available to attend all meetings which entails regular and special meetings.
Please list three references with telephone numbers:
1. Bryan Justin Marks - Executive Director LSC
2. Susan Cervantes - Patient Advocate
3. Erica Ayala - CEO / Founder lnvest in me
A resume containing other pertinent information about yourself would be helpful to the City Council in evaluating your application (Optional).
APPLICATION CERTIFICATION: PLEASE READ BETOW BEFORE SIGNING.
I certify that the statements made by me In this application are true, complete, and correct to the best of my knowledge and belief. I understand that statements made are subject to verification and that any misrepresentation, fraud, or omission of material facts may result in denial of a ppointment/reappointment.
I hereby authorize representatives of the City of Patterson to contact organizations (including employers and schools) and individuals listed, for the purpose of establishing or verifying my qualifications and work history in connection with this appllcation. I understand and acknowledge that such information will be used confidentially and for the purpose of appointment/reappointment decisions only.
I understa nd and hereby accept that if the City Council of the City of Patterson a ppoints/reappoints me to a City of Patterson Commission/Committee/Board, I will serve without pay and will be subject to the filings of the Fair Political Practices Commission (Stdtement ol Economic lnterest, Form 70O1. I hereby further understand and accept that per City Ordinance No. 718, if I am a ppointed/reappointed, I will be required to pass a Department of Justice (DOJ) fingerprint (background) test.
Date Signature
File this application with: The City Clerk of the City of Patterson P.O. Box 667
l Plaza, 2nd Floor
Patterson, CA 95363
Web Site www.ci.patterson.ca.us Email [email protected] Direct No. (209) 895-8014
(The City Clerk's Office will keep your application on file for one (1) year from the date stamped recelved) p h 6,", g209-380-2934
p6 6n
"209-61
4-0998
p6on"2O9-204-4323