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RECEIVED
CITY CLERKS. OFFICE
BOARD OR COMMISSION APPLICATION FORM
2021 NOV 10 PM 4: 23 DATE: 11/10/2021
Check one: New Appointment
Re-Appointment
NAME OF BOARD OR COMMISSION: . Zhoushan
NAME: Alexander Golovets
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HOME ADDRESS:
ZIP CODE:94806 _HOME PHONE: WORK PHONE:
OCCUPATION: Attorney EMAIL ADDRESS:
HOW LONG HAVE YOU BEEN A RESIDENT OF THE CITY OF RICHMOND: 10 + years PLACE OF EMPLOYMENT: Law Offices
REASONS FOR INTEREST IN APPOINTMENT:
Would like to continue my participation with the Zhoushan Commission with all the project and ideas when the COVID-19 pandemic is tinally over.
FRATERNAL AND/OR CIVIC ORGANIZATIONS:
EDUCATION:
MBA, JD, BA in Law.
REFERENCES (Minimum 5 - List Name, Address, Phone Number, and Email Address)
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2. 3._
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5. To the best of my knowledge the information provided is true and correct:
Apoloveds 11/10/2021
Signature Date
Deliver or Mail to: City Clerk Or Email to: [email protected] 450 Civic Center Plaza Print and Sign
Richmond, CA 94804
For Office Use Only: New Appointment: Reappointment: • • 1st • 2nd • 3rd