BOARD OR COMMISSION APPLICATION FORM
DATE: 05/01/2024
Check one: New Appointment
Re-Appointment,
NAME OF BOARD OR COMMISSION: Richmond Shimada Friendslup Commission NAME: Liana Ngo
HOME ADDRESS:
ZIP CODE: 94547 HOME PHONE: - WORK PHONE:
OCCUPATION: Library Assistant EMAIL ADDRESS:
HOW LONG HAVE YOU BEEN A RESIDENT OF THE CITY OF RICHMOND: NIA, O PLACE OF EMPLOYMENT:
REASONS FOR INTEREST IN APPOINTMENT:
I was chosen a student ambassador 2014 and would like to діке back te the commissien Aat lulpel shape my life
FRATERNAL AND/OR CIVIC ORGANIZATIONS:
N/A
EDUCATION:
BA - UCLA
pear long study abroad - Waseda University
HS diplomer - HerclesHigh Seniool
REFERENCES (Minimum 5 - List Name, Address, Phone Number, and Email Address)
1. Melody Wang;
2. Ar. Darren Ng
3. Leth filmore
4. Chas Churg;
5. Jery Brit;
To the best of my knowledge the information provided is true and correct:
15/01/2024
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