Clear Form
BOARD OR COMMISSION APPLICATION FORM
DATE:. 1112023
Check one: New Appointment
Re-Appointment
NAME OF BOARD OR COMMISSION: Outs i Culture Commission
NAME: aret. Porter
HOME ADDRESS:
ZIP CODE 94804 WORK PHONE: Same
_HOME PHONE:
OCCUPATION: IT Professional _ EMAIL ADDRESS:
HOW LONG HAVE YOU BEEN A RESIDENT OF THE CITY OF RICHMOND: Senice 2019 PLACE OF EMPLOYMENT:
REASONS FOR INTEREST IN APPOIN MEN!:
Nanome for Cute cultue Richmond
FRATERNAL AND/OR CIVIC ORGANIZATIONS:
oa board Member.
gect
mopHaras
EDUCATION:
decree -JourNalism
behavioral
REFERENCES (Minimum 5- List Name, Address, Phone Number, and Email Address)
1. Adrieve Berrett -
2_ Mare ia Carter-Dard
3. Craig Woo ridge -
4._ Vancy Szczepansk
5. Laura Wibaate
To the best of my knowledge the information provided is true and correct Center aler Carole J. Porter 1/ 11|2023
Date
Deliver or Mail to: City Cierk Or Email to: [email protected] 450 Civic Center Plaza Print and Sign
Richmond, CA 94804
For Office Use Only: New Appointment: Reappointment: D 1st 02nd • 3rd