RECEIVED
CITY CLERKS OFFICE
CITY OF RICHMOND
2022 SEP 15 PM BOARD OR COMMISSION APPLICATION FORM
one September 15, 2023
Check one: New Appointment
Re-Appointment
NAME OF PARO OR COMMISSION Housing Advisory Commussion
NAME: helena Costin
HOME ÁDDRESS:
ZIP CODE: 94804_HOME PHONE: WORK PHONE:
OCCUPATION: Unemplydes EMAIL ADDRESS
HOW LONG HAVE YOU BEEN A RESIDENT OF THE CITY OF RICHMOND: Octoker 4 aban PLACE OF EMPLOYMENT: Disable.
REASONS FOR INTEREST IN APPOINTMENT:
ere is avare fat Need to be peard withi. A lot.
i concerna are not Deepe
Hee! where Housing sosues that Fineats
FRATERNAL AND/OR CIVIC ORGANIZATIONS:
EDUCATION:
HighSchool: 1989 Castlemont High School (Graduate)
Contra Costa College: (Some College):
REFERENCES (Minimum 5 - List Name, Address, Phone Number, and Email Address)
1. Lacine scott
"aree Juster.
DeBorah Benofield aakland, ca
4 Vashni Thornton Chicago, el
elena Cacbe 9/15/22
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 2ad 3rd