Michem
RECEIVED
CITY CLERI IS OFFICE
CITY OF R CHMOIBOARD OR COMMISSION APPLICATION FORM
2025 MAY - 2 PM 12:36 DATE: 4pRil 29, 2025.
Check one: New Appointment
Re-Appointment
NAME OF BOARD OR COMMISSION:_ COMMiSsiON ON AgiNg - MeMber At lange TAt M. YouNg
NAME:
HOME ADDRESS:
ZIP CODE: 9480( HOME PHONE: WORK PHONE: NA
OCCUPATION: Redinad
EMAIL ADDRESS:
HOW LONG HAVE YOU BEEN A RESIDENT OF THE CITY OF RICHMOND: SiNGE 1993 PLACE OF EMPLOYMENT: N/A (Retired)
REASONS FOR INTEREST IN APPOINTMENT:
I hove standed A few martine to get a till for this BoArd.
I ENjoy Workin WilL CHE ProplE! PARKIND DOUT SERVICES JOE AR DoDilable for ZaNtEs.
PROCESSS.
FRATERNAL AND/OR CIVIC ORGANIZATIONS:
INtERNALioNal (TOAStMISTINE) TebiNiM IN COUMUNiRdiON (ITE) EDUCATION:
REFERENCES (Minimum 5 - List Name, Address, and Phone Number)
1. Lalisha
2._ ToNi Powell
3. JANiNE GALiA
4. ChestiNE WEldoN
5. LindA LANE
To the best of my knowledge the information provided is true and correct:
April 29,2025
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