CS
CITY C S OFFICE
BOARD OR COMMISSION APPLICATION FORM
DA22404/30/20244
Check one: New Appointment
Re-Appointment
NAME OF BOARD OR COMMISSION: Commission on Aging
NAME: Rev. Donna Decamp
HOME ADDRESS:
ZIP CODE: HOME PHONE: WORK PHONE:
OCCUPATION: United Methodist Clergy (Retired) EMAIL ADDRESS:
HOW LONG HAVE YOU BEEN A RESIDENT OF THE CITY OF RICHMOND: 16 years PLACE OF EMPLOYMENT:
REASONS FOR INTEREST IN APPOINTMENT:
To further serve my community and our aging population
FRATERNAL AND/OR CIVIC ORGANIZATIONS:
EDUCATION:
Pacfic School of Relition, M. Div., 2005
University of Houston, BBA, 1975
REFERENCES (Minimum 5 - List Name, Address, and Phone Number)
1. Rev. Dr. Dale Weatherspoon,
2. Myrtle Braxton,
3. Rev. Brian Adkins,
4. Dorothy Wonder,
5. Barbara Glendenning,
To the best of my knowledge the information provided is true and correct:
Rev Gonna de Camp 30 April 2024
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