RECEIVED
CITY CLERKS OFFICE
CITY OF RICHMOND
BOARD OR COMMISSION APPLICATION FORM
2023 APR -6
DATE: RM 3242023
Check one: New Appointment
Re-Appointment
NAME OF BOARD OR COMMISSION: Sitizen Police Revien Commission NAME: Carole Johnson
HOME ADDRESS: Richmond, CA 44805
ZIP CODE: 94805_HOME PHONE: _ WORK PHONE: Same
OCCUPATION: Community Activist EMAIL ADDRESS:
HOW LONG HAVE YOU BEEN A RESIDENT OF THE CITY OF RICHMOND: Since 1996 PLACE OF EMPLOYMENT: N
REASONS FOR INTEREST IN APPOINTMENT:
became need to Pregny senten ust be communit _ am iATeresTed in and the police department
FRATERNAL AND/OR CIVIC ORGANIZATIONS:
Hang Bights/ Human Relations Commission (2013-2015)
EDUCATION:
SESU Collene of Extended Learning- Paralegal Studies (2008-2010) So states verty, verTtty, 2008 inal Justice 2004- 2008) REFERENCES (Minimum 5 - List Name, Address, Phone Number, and Email Address) all addresses are
1. Henry Washington in Richmond, CA
2Clandia Jimenez
3. Melvin Willis,
4. DeWanda Joseph
5. MarilynLanglis
To the best of my knowledge the information provided is true and correct:
4-6-2023
Signature Date
Deliver or Mail to: City Clerk Or Email to: [email protected] 450 Civic Center Plaza
Richmond, CA 94804