RECEIVED
SEP - 3 2025
CITY CLERKS OFFICE
BOARD OR COMMISSION APPLICATION FORM CITY OF RICHMOND
DATE: 09/02/25
Check one: New Appointment D
Re-Appointment 121
NAME OF BOARD OR COMMISSION: Community Crisis Response Team --------------------------NAME: Keri Sullivan
HOME ADDRESS:
---------------------------
ZIP CODE: 94801 HOME PHONE: WORK PHONE: ----------
OCCUPATION: Case Manager EMAIL ADDRESS:
-----------------
HOW LONG HAVE YOU BEEN A RESIDENT OF THE CITY OF RICHMOND: off and on since birth PLACE OF EMPLOYMENT:
RE AS ON S FOR INTEREST
As a lifelong Richmond resident, I have seen firsthand the challenges and strengths of our community. My work as a Case Manager at ADEiii Health allows me to support people experiencing mental health, addiction, and housing crises with compassion and advocacy. With over 20 years of sobriety and a background in psychology and health and human services, I bnng both professional train mg and lived experience. I am committed to ensunne: cns,s resbonse in Richmond Is trauma-informed. culturalv resoons,ve.
FRATERNAL AND/OR CIVIC ORGANIZATIONS:
l Jrhan Tilth -Val, I □ teer/Caroro,1 □ ity Engagement
EDUCATION:
Bachelor's Degree -A.A. in Psychology & Health and Human Services (December 2025) Dual Diagnosis certificate 1 Substance Abuse Certificate REFERENCES (Minimum 5 - List Name, Address, Phone Number, and Email Address)
1. Sarah Shwaika,
2. Teresa Knipple,
3. Ariana Garcia,
4_ Rebeca Martinez,
5. Michelle Molina,
To the best of my knowledge the information provided is true and correct:
K • s 11· ~ 09/02/25 erJ U IV8ri Keri Sullivan (Sep 2, 2025 17:58:06 PDT) Signature
Deliver or Mail to: City Cieri<
450 Civic Center Plaza
Richmond, CA 94804
For Office Use Only: New Appointment:
Date
or Email to: [email protected]
D Reappointment: D 1st D 2nd D 3rd