RECEIVED
DEC - 8 2025
CITY CLERKS OFFICE
BOARD OR COMMISSION APPLICATION FORM CITY OF RICHMOND
12/07/2025
DATE
Check one: New Appointment
Re-Appointment
NAME OF BOARD OR COMMISSION: Commission on Aging
NAME: Regina Whitney
HOME ADDRESS:
ZIP CODE: 94804 HOME PHONE: WORK PHONE:
OCCUPATION: Political/Community Organizer EMAIL ADDRESS:
HOW LONG HAVE YOU BEEN A RESIDENT OF THE CITY OF RICHMOND: 72 Years PLACE OF EMPLOYMENT: Oakland, CA 94612
REASONS FOR INTEREST IN APPOINTMENT:
I am currently working in the Political Department with Seiu Local 1000. I feel passionate about giving supportto my community.
FRATERNAL AND/OR CIVIC ORGANIZATIONS:
Naacp
Blacks in Government:
EDUCATION:
Richmond High School
Laney College- Associate Degree
REFERENCES (Minimum 5- List Name, Address, Phone Number, and Email Address)
1. Myrtle Braxton Richmond, CA 94804
2. Bryan Harris Richmond, CA 94804
3. Michelle Hayes Richmond, CA 94804
4. Lorene Holmes Dees Richmond, CA 94803
5. knowledge the information provided is true and correct 12/07/25
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 0200 © 3rd