RECEIVED
CITY CLERKS OFFICE
CITY OF RICHMOND BOARD OR COMMISSION APPLICATION FORM
2022 SEP 28 PM 3:04 DATE: 08-22-2022
Check one: New Appointment
Re-Appointment
NAME OF BOARD OR COMMISSION: ON AGING
NAME: NAOMI WILLIAMS
HOME ADDRESS
ZIP CODE: 948 • 4 HOME PHONE WORK PHONE:
OCCUPATION: RETIRED EMAIL ADDRESS
HOW LONG HAVE YOU BEEN A RESIDENT OF THE CITY OF RICHMOND: 50YRS PLACE OF EMPLOYMENT: SOCIAL SECURITY PETIRED
REASONS FOR INTEREST IN APPOINTMENT:
FUIV ALVA HAVE FRIENDS ANA OUTINGS AND LEARIVING
OTHER TIMGIGS OR THINGS AND PEOPLE
FRATERNAL AND/OR CIVIC ORGANIZATIONS:
EDUCATION:
BoA
REFERENCES (Minimum 5 - List Name, Address, Phone Number, and Email Address)
1. MYRTLE BRAXTON
2 VALERIE ROBINSON
3. MARCELLIS ASHLEY
4.-
5._
To the best of my knowledge the information provided is true and correct:
Maoni Wellions 09-26-2022
Signature Date
Deliver or Mail to: City Clerk Or Email to: [email protected] 450 Civic Center Plaza
Richmond, CA 94804
For Office Use Only: New Appointment: Reappointment: • 1st • 2nd • 3rd