RECEIVED
Fiel
AUG 1 4 2025
BOARD OR COMMISSION APPLICATION FORM CITY OF RICHMOND
8/7 CTY9/2825=
DATE:
Check one: New Appointment
Re-Appointment
NAME OF BOARD OR COMMISSION: Commission on Aging
NAME: Lorene Ransbottom
HOME ADDRESS: Richmond, CA.
ZIP CODE: 94804 HOME PHONE: WORK PHONE:
OCCUPATION: Retired EMAIL ADDRESS:
HOW LONG HAVE YOU BEEN A RESIDENT OF THE CITY OF RICHMOND: My Whole life (G+4"s) PLACE OF EMPLOYMENT:
REASONS FOR INTEREST IN APPOINTMENT:
Because I want to make a differend in Seniors lives.
And the disabled Seniors.
FRATERNAL AND/OR CIVIC ORGANIZATIONS:
Senior Center & Valley View Baptist church.
EDUCATION:
Nursing School
Attended College over seas. (09) (UK)
REFERENCES (Minimum 5-List Name, Address, Phone Number, and Email Address)
1. Myrtle Braxton
2. Carletta Harris - Vigil
3. Nathetla Pree
4. VACQUETTA ALEXANDER
5. connifer Ransbottom
of mu knowledge the information provided is true and correct:
8/10/25
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 0 2nd • 3rd