RECEIVED
CITY CLERKS OFFICE
CITY OF RICHMOND
2% DEC20 BRARE OR COMMISSION APPLICATION FORM
RKS OFFIC • RICHMOND DATE: 12/20/2021
CEIVED
Check one: New Appointment
Re-Appointment
NAME DE BOARD OR COMMISION Fersonnel Board
NAME: Vernefta Buckner
HOME ADDRESS:
ZIP CODE: 94804 _HOME PHONE: WORK PHONE:
OCCUPATION: Self employed EMAIL ADDRESS:
HOW LONG HAVE YOU BEEN A RESIDENT OF THE CITY OF RICHMOND: 43 plus years PLACE OF EMPLOYMENT: Netta's Kid'Z
REASONS FOR INTEREST IN APPOINTMENT:
To help maintain a steady workforce and to attract new employees with the best skills and technology, that we continue our mission of Richmonds Pride and Purpose and to help ensure Richmond reisdents have the best employess to conintue to make our future successful for all.
FRATERNAL AND/OR CIVIC ORGANIZATIONS:
Knight of Peter Claver Ladies Auxillary
St John the Baptist Catholic Church Choir
EDUCATION:
CCC AA Degree San Pablo, CA
HS Woodrow Wilson San Francisco, CA
REFERENCES (Minimum 5 - List Name, Address, Phone Number, and Email Address)
1. Barbara Williams
2. Linda Bazemore
3. Leatrice Frazier
4. Eliane Keith
5. Diana Singleton
To the best of my knowledge the information provided is true and correct:
12/20/2021
Signature Date
Deliver or Mail to: City Clerk Or Email to: [email protected] 450 Civic Center Plaza
Richmond, CA 94804