RECEIVED
#tellen
NOV 1 9 2024
MBOARDOR COMMISSION APPLICATION FORM 1|15/24
City Clerk's Office
City of Richmond Check one: New Appointment
Re-Appointment
NAME OF BOARD OR COMMISION: HUMAN RIGHT @ PELATIONS COMMISSION NAME: O Neill Fernandez
HOME ADDRESS:
ZIP CODE: 24807_ HOME PHONE: WORK PHONE:
OCCUPATION: Director of wellness tams EMAIL ADDRESS:
HOW LONG HAVE YOU BEEN A RESIDENT OE THE CITY OF RICHMOND: 9uenrs PLACE OF EMPLOYMENT;
REASONS FOR INTEREST IN APPOINTMENT:
The people 7 work with and a serve in my Community
Human! rights dont get enovan attention. on
I want to make Sure Humans of all walks of cit
Get Seen.
FRATERNAL AND/OR CIVIC ORGANIZATIONS:
EDUCATION:
REFERENCES (Minimum 5 - List Name, Address Phans Number and Email Addrasa)
1. Daniel Barth
2. Michelle mitian milar
3. 4.
5. To the best of my knowledge the information provided is true and correct:
II/15/24
Deliver or Mail t Or Email to: [email protected] 450 Civic Center Plaza
Richmond, CA 94804
New Appointment: Reappointment: 1st 2nd 0 3rd
For Office Use Only: