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POM
1/25/22
CITY OF POMONA
505 S. GAREY AVENUE
POMONA, CA 91766
INCORPORATED JAN
CITY BOARDS/COMMISSIONS/COMMITTEES
PUBLIC SERVICE APPLICATION
Please Note:
All applicants must be current residents of the City of Pomona. • A separate application must be submitted for each Board, Commission, or Commitee you are interested in serving • Applications are kept on file for one (1) year from the date submitted.
An individual may serve on one commission at a time.
The maximum number of consecutive years an individual may serve on the same commission is nine (9). • Submitted applications are considered a public record and are subject to review by anyone upon request.
(Please print or type all information)
1 In which Council District do you reside?
Board, Commission, or Committee of interest: Community Life Dist 4 Name of Applicant
Hemming Carolyn K
Home Work
Last Name First Name M.I. Telephone Number
Home Address
Pomona CA 91766
Street Number Street City State Zip Code
Mailing Address (if different from above) Claremont 9/711 Pomona CA 91766
Number and Street Name or P.O. Box City State Zip Code
Business Address
153 West 2nd st Pomona CA 91766
Street Number Street City State Zip Code
E-mail Address
Daytime Contact Telephone Number (between 8:00 a.m. and 6:00 p.m.) The City's Conflict of Interest Code requires that members of City Boards/Commissions file a Statement of Economic Interests. Would you be willing to file a financial disclosure statement? Yes NoL Please provide the following information. You may attach additional pages, enclose a copy of your résumé, or submit supplemental information that would be useful to the City Council in consideration of your appointment.
HOW LONG have you resided in the City of Pomona? Raised in pomona, over 50 years COMMUNITY SERVICE (List boards, commissions, committees and community organizations on which you are currently serving or have served, and the number of years, offices held and in what city) Planning Commission,5 yrs, VPD Commission, 1 Year, Community Art Commission, 5 years, YMCA 10 years, DPOA15 years, Kiwanis current, Eagles current, VFW current. All City of Pomona
EMPLOYMENT BACKGROUND (Title and duties)
Educator, paralegal, small business owner
EDUCATIONAL BACKGROUND (Optional - Include professional or vocational licenses or certificates) College, downtown management certification, Citizens Academy WHAT IS YOUR UNDERSTANDING of the objectives and goals of the Commission to which you are seeking appointment?
Voice for the community with regard non profit partnership on events etc with the City BRIEFLY EXPLAIN what in your background, training, education or interests, you feel qualifies you for this appointment.
Very familiar with all aspects of the City of Pomona
HOW would you utilize the above-stated qualifications to help achieve the board's/commission's objectives and goals?
Assist the other commissioner's to achieve their stated goals along with staff and (have used al reasonable diligence in completing this application. I have reviewed the application and to the best of my knowledge the information contained herein and on any attached pages is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
7/20/2022
Signature of Applicant Date
WHEN COMPLETED, MAIL OR RETURN ORIGINAL TO : Office of the City Clerk Pomona City Hall
505 South Garey Avenue
Pomona, CA 91766
SPACE BELOW FOR OFFICE USE ONLY
Date Received:
Appointed to: District: Date Appointed:
• Board of Library Trustees Reappointed
• Board of Parking Place Commission Original Appointment:
• Community Life Commission Expiration of Term:
• Cultural Arts Commission 9 Year Term Limit:
Historic Preservation Commission Reason for vacancy:
Parks and Recreation Commission
Planning Commission Nominated by:
Other_