By Sabrina Lundy at 2:12 pm, Aug 01, 2025
[ RECEIVED
Clear Form
-·-0
BOARD OR COMMISSION APPLICATION FORM
DATE: 8/1/25
Check one: New Appointment D
Re-Appointment 0
NAME OF BOARD OR COMMISSION: Human rights and Human Relations Commission NAME: Xiomara Casias
HOME ADDRESS:
ZIP CODE: 94801 HOME PHONE: -------- WORK PHONE: ________ _ OCCUPATION: High-school student EMAIL ADDRESS:
HOW LONG HAVE YOU BEEN A RESIDENT OF THE CITY OF RICHMOND: 16 years -"'------------ PLACE OF EMPLOYMENT: _________________________ _
REASONS FOR INTEREST IN APPOINTMENT:
I am interested in Re-Apointment because I would love ta continue helping my community and my fellow commIssIoners. I am very grateful and would love to continue helping my community m any way poss, e.
FRATERNAL ANO/OR CIVIC ORGANIZATIONS:
EDUCATION:
junior year of high-school
REFERENCES (Minimum 5 - List Name, Address, Phone Number, and Email Address)
1.lrma Zavala.
2_ Manuel Zavala
3_Guadalupe Cortez.
4 _ Lucia Casias.
5_Soledad Casias.
Xiomara Casias
To the best of my knowledge the information provided is true and correct:
8/1/25
Signature Date
Deliver or Mail to: City Clerk Or E_mail to: [email protected] 450 Civic Center Plaza
Richmond, CA 94804
Print and Sign
I For Office Use Only: New Appointment: □ Reappointment: □ □ 1st □ 2nd □ 3rd l