RECEIVED
Bioa
PEB 23 2023
CITY CLERK'S OFFICE
BOARD OR COMMISSION APPLICATION FORM
DATE: 2-22-23
Check one: New Appointment
Re-Appointment
NAME OF BOARD OR COMMISSION: Richmand - Zhoushan Friendship Commission NAME: Marque
HOME ADDRESS:
ZIP CODE: 94/22 HOME PHONE WORK PHONE
OCCUPATION: < E0 EMAIL ADDRESS:
HOW LONG HAVE YOU BEEN A RESIDENT OF THE CITY OF RICHMOND: NA PLACE OF EMPLOYMENT: World Stars
REASONS FOR INTEREST IN APPOINTMENT:
Supportine the Richmond - Zhonshan Friendshp Commseia in the of educatim business and -travel
FRATERNAL AND/OR CIVIC ORGANIZATIONS: Richmond- Zhonslan Frendship Commissin) Lions Clubs Internatimal Chinese Hospital Auxiliary,
One Vet One Global Initiative for tealth and wellness,
MD4 Youth Outreach lose mattre I C Berkeley Alumn Associatina EDUCATION:
MA, Multicultural Education| Bilingual Vocahanal Dustanter Traning, usE mA, Educatonal Administation
та, Lims University
REFERENCES (Minimum 5 - List Name, Address, Phone Number, and Email Address)
1. Mr. Stanley Li
2 lackan
3 Mr. seph
4 Ms. Alison
my knowledge the information provided is true and correc 2-22-23
Date
Signature Or Email to: [email protected]
Deliver or Mail City Clerk
450 Civic Center Plaza
Richmond, CA 94804
• 1st 2nd 3rd
For Office Use Only: New Appointment: Reappointment: