RECEIVED
867 воїни CITY CLERKS OFFICE
CITY OF RICHMOND
BOARD OR COMMISSION APPLICATION FORM 12 AM 9: 4,7
4/14/2025
DATE:
Check one: New Appointment
Re-Appointment
NAME OF BOARD OR COMMISSION: Human Rights and Human
NAME: O'Neill Fernandez
HOME ADDRESS:
ZIP CODE: 94501 _HOME PHONE: • WORK PHONE:
OCCUPATION: Director of wellness* program EMAIL ADDRESS:
HOW LONG HAVE YOU BEEN A RESIDENT OF THE CITY OF RICHMOND: _ Y year PLACE OF EMPLOYMENT:
REASONS FOR INTEREST IN APPOINTMENT:
I want to bring an equal oppurity for unhoused Commont
to nave a VDIGE
[am Really enoying the pricia onliage co hang a le
this commision and would
FRATERNAL AND/OR CIVIC ORGANIZATIONS:
EDUCATION:
Kalani High school
Andra Neal Coaching
REFERENCES (Minimum 5 - List Name, Address, Phone Number, and Email Address)
1. Michelle milth
2. Daniel Barth
3. Shyla Crowder
4. Tanya Rusciano
5. Janny Castiltio
To the besbof my knowledge the information provided is true and correct:
4/15/2025
Signature
Deliver or Mail to: Gly Chit Center Plaza Or Email to: [email protected] Richmond, CA 94804
For Office Use Only: New Appointment: Reappointment: • 1st 0] 2nd 7 3rd