RECEIVED
PRINT FORM CLEAR FORM CITY CLERKS OFFICE
CITY COND
Richmond Youth Council Application 2023 APR 24 AMIO: 09 Date of Application: 4/22/23 Check one: New Appointment:
Re-Appointment:
Applicant Name: Fernando Gael Guzman Arredondo
E-mail address:
Date of Birth Age at date of application: 17 Years living in Richmond: 15 Home Address (Street Address. City. and Zin Cadeli
Primary Phone: Secondary Phone (optional):
ma of Sabool ifsnalicabla
Work Experience / Volunteer Experience:
Automotive Mechanic Assistant
Youth Mentor and Activist
Part-time worker at Left Side Printing
GRIP volunteer
TikTok Video recorder
Organizations, Honors, affiliations:
Accepted into UC Berkeley
Top 9% of my entire school
Honor Roll 2021-2023
References (List Name, Address, Phone Number, and Email Address):
1) Diego Garcia,
2) Brandon Mercer,
3) Bobby Winston,
To the best of my knowledge the information provided is true and correct:
Signature: Fernando Gurman Date: 4/22/23
Submit to: City Clerk, 450 Civic Center Plaza, Richmond, CA 94804 OR Email to: [email protected] For Office Use Only New Appointment Reappointment 0 1st 02° 03d