BOARD OR COMMISSION APPLICATION FORM
DATE: _____________________
Check one: New Appointment
Re-Appointment
NAME OF BOARD OR COMMISSION: _____________________________________________________________ NAME: ______________________________________________________________________________________ HOME ADDRESS: __________________________________________________________________ ZIP CODE: ____________HOME PHONE: _________ WORK PHONE: _______________________ OCCUPATION: _______________________________________ EMAIL ADDRESS:
HOW LONG HAVE YOU BEEN A RESIDENT OF THE CITY OF RICHMOND: _____________________________ PLACE OF EMPLOYMENT: ______________________________________________ REASONS FOR INTEREST IN APPOINTMENT:
____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ FRATERNAL AND/OR CIVIC ORGANIZATIONS:
____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ EDUCATION:
____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ REFERENCES (Minimum 5 – List Name, Address, Phone Number, and Email Address)
1.____________________ _________ _______________________
2.____________________ _________________________________________________________
3.___________________ ___________ ______________________
4.____________________ __________ _________________________
5._____________________ ____________ ______________________________ To the best of my knowledge the information provided is true and correct:
_______________________________________________ ____________________________ 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 April 3, 2025
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Human rights and Human Relations Commission
Isabel C. Ramos Zaragoza
94801
Student/Internship
21 years
I want to serve on the Human Rights and Human Relations Commission for a full term. I want community members to feel included and acknowledged, especially during this political and social instability. Creating a partnership with community members and collaborating with other community agencies to support our community. I pledge to serve everyone with equity, transparency, and respect.
San Francisco State University Student Organization - Clinica Martin Baro - Treasurer MPA student at SFSU
B.A. Latino/a Studies and Minor in Political Science, graduating in May 2025.
Erika Rosales-Shelfo
Xitlaly Ramos
Liliana Medina
Diana Sullivan
Victoria Sawicki