RECEIVED
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JUL 18 2022
CITY OF RICHMOND
BOARD OR COMMISSION APPLICATION FORM CITY CLERK'S OFFICE DATE: 7/18/2022
Check one: New Appointment Z
Re-Appointment
NAME OF BOARD OR COMMISSION: Library Commission
NAME: Thomas E Harrison Jr.
HOME ADDRESS
ZIP CODE:94804 HOME PHONE WORK PHONE:
OCCUPATION: Elementary School Librarian EMAIL ADDRESS:
HOW LONG HAVE YOU BEEN A RESIDENT OF THE CITY OF RICHMOND: 3 years PLACE OF EMPLOYMENT: Prospect Sierra School
REASONS FOR INTEREST IN APPOINTMENT:
To advocate for, and help maintain, a health library system in Richmond.
FRATERNAL AND/OR CIVIC ORGANIZATIONS:
EDUCATION:
City College of San Francisco - Library Information Technology Certificate of Achievement REFERENCES (Minimum 5 - List Name, Address, Phone Number, and Email Address)
1.Donna Brorby. San Francisco.
2. Mary DeNardo. Richmond.
3.Nisa Frank. Richmond.
4. Sebastian Kaplan. Kensington.
5.Jasmine McMurry. Richmond.
To the best of my knowledge the information provided is true and correct:
Jamb 7/18/2022
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