RECEIVED
ВвеЛо вії
MAR 26 2026
CITY CLERKS OFFICE
BOARD OR COMMISSION APPLICATION FORM CITY OF RICHMOND
DATE: 3-26-2026
Check one: New Appointment
Re-Appointment
NAME OF BOARD OR COMMISSION: Richmond Commission on Aging NAME: Kíran Haar wal
HOME ADDRESS:
ZIP CODE: 94806 HOME PHONE: WORK PHONE: _ nA
OCCUPATION: _ STUDENT EMAIL ADDRESS:
HOW LONG HAVE YOU BEEN A RESIDENT OF THE CITY OF RICHMOND: 10 years PLACE OF EMPLOYMENT:
REASONS FOR INTEREST IN APPOINTMENT:
Helping senior citizens to stay active, transportation
issues.
FRATERNAL AND/OR CIVIC ORGANIZATIONS:
General Manager's Acess Committee. Part of AC Transit.
EDUCATION:
BSc.
REFERENCES (Minimum 5-List Name, Address, Phone Number, and Email Address)
1.Myrtle Braxton,
2. Brian Harris, commissioner, Richmond, Ca
3. Michelle Hayes,
4. Regina whitney,
5. Rina Baker
In the best of my knowiedge the information provided is true and correct:
3-26-2026.
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 020 03rd