ATTACHMENT NO. 1
OF
CITY OF POMONA
505 S. GAREY AVENUE
POMONA, CA 91766
189%
CITY BOARDS/COMMISSIONS/COMMITTEES
PUBLIC SERVICE APPLICATION
Please Note:
• 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.
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 upor request.
(Please print or type all information) 2
In which Council District do you reside?
Board, Commission, or Committee of interest: VPD Comission Name of Applicant
Vizcarra Manuel Home Work
Last Name First Name M... Telephone Number
Home Address
Pomona ca 91767
Street Number Street City State Zip Code
Mailing Address (if different from above)
Pomona Ca 91766
лили
Number and Street Name or P.O. Box City State Zip Code
Business Address
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.) V 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 ir consideration of your appointment.
HOW LONG have you resided in the City of Pomona? 33 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) DPOA Marketing and Event planning committees. Fox culture events committee.
EMPLOYMENT BACKGROUND (Title and duties)
Public health professional with 12 years of experience in community health programming.
EDUCATIONAL BACKGROUND (Optional - Include professional or vocational licenses or certificates) Associates Degree- Communications- Language Arts, Citrus College Bachelors Degree in Communications, California State University, Los Angeles Master Degree of Public Health, California State University, Northridge WHAT IS YOUR UNDERSTANDING of the objectives and goals of the Commission to which you are seeking appointment?
The VPD Commission acts as a liaison between local businesses, property owners, and the city to ensure parking solutions align with the district's needs.
BRIEFLY EXPLAIN what in your background, training, education or interests, you feel qualifies you for this appointment.
my background in community engagement, city communications, and event planning.
With experience coordinating public events, working closely with local businesses, and How would you utize the above-stated qualifications to help achieve the boardsicommission's abjectives and goals?
I would use my background in community engagement and city communications to ensure that parking policies reflect the needs of local businesses and residents. By I have used all reasonable diligence in compieting this application. 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.
05/29/2025
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