Cities Index.
Board of Ethics Applications

Riverside City Council
February 9, 2023

Document
Board of Ethics Applications
Meeting
February 9, 2023
Body
Riverside City Council
Pages
4
Original file
2.9 MB
Text extracted from the city's file for reading and search. Open the original on riversideca.legistar1.com. That file is the official record.

Submit Date: Mar 02, 2021
First Name
Middle Initial
Last Name
Home Address
Suite or Apt
City
State
Postal Code
Primary Phone
Alternate Phone
Email Address
Employer
Job Title
The City of Riverside, CA Boards & Commissions
Application Form
Profile
Office Use Only:

Ward 1

Which Boards would you like to apply for?
Commission on Aging: Submitted
Airport Commission: Submitted
Budget Engagement Commission: Submitted
Community Police Review Commission: Submitted
Cultural Heritage Board: Submitted
Commission on Disabilities: Submitted
Board of Ethics: Submitted
Human Relations Commission: Submitted
Human Resources Board: Submitted
Board of Library Trustees: Submitted
Museum of Riverside Board: Submitted
Park and Recreation Commission: Submitted
Planning Commission: Submitted
Board of Public Utilities: Submitted
Transportation Board: Submitted
Ms./Mr.

Ms.

Business Address
Beth
M.

Hill-Skinner
Riverside
CA
Riverside Community College
Adjunct Faculty
Beth M. Hill-Skinner

Page 1 of 6 ends

Business Phone
Length of residence in City of Riverside
Are you a registered voter of the City of Riverside?
Yes No
Have you ever been convicted of a crime of moral turpitude? Yes No
Do you have adequate time to serve?
Yes No
*Eligibility requirements per City Charter Article VIII Section 805.

Applications may be screened on the basis of information submitted with this form.

You are welcome to provide a resume and/or letters of endorsement.

Interests & Experiences
WHY YOU WANT TO SERVE ON A CITY BOARD OR COMMISSION:

EXPERIENCE OR SPECIAL KNOWLEDGE PERTAINING TO AREA(S) OF INTEREST:

EDUCATIONAL BACKGROUND:

OCCUPATIONAL EXPERIENCE:

PROFESSIONAL OR TECHNICAL ORGANIZATION MEMBERSHIPS:

CIVIC OR COMMUNITY EXPERIENCE, MEMBERSHIPS, OR PREVIOUS PUBLIC SERVICE APPOINTMENTS:

Beth M. Hill-Skinner Page 2 of 6

COMMISSION ON AGING
AIRPORT COMMISSION *
BUDGET ENGAGEMENT COMMISSION *

COMMUNITY POLICE REVIEW COMMISSION
CULTURAL HERITAGE BOARD *

COMMISSION ON DISABILITIES

BOARD OF ETHICS

HUMAN RELATIONS COMMISSION

HUMAN RESOURCES BOARD
BOARD OF LIBRARY TRUSTEES *

MUSEUM OF RIVERSIDE BOARD
PARK AND RECREATION COMMISSION *
PLANNING COMMISSION *
BOARD OF PUBLIC UTILITIES *
TRANSPORTATION BOARD *
*
A Statement of Economic Interests is required. Any information listed on this application is a matter of public record and will be disclosed upon request.

Under existing California law, a member of a board or commission may not make, participate in making, or attempt to influence a governmental decision if it is reasonably foreseeable that the decision could have a material financial effect on that member, the member’s immediate family, or any of his or her financial interests. There is also a special category of conflicts of interest which strictly forbids members and/or their employers from having financial interests in city contracts.

Careful consideration should be given to this issue and applicants are encouraged to contact the City Clerk’s Office if they have any questions.

Question applies to
Budget Engagement Commission
Thank you for your interest in serving on the City's Budget Engagement Commission. These supplemental questions are mandatory and will help the City determine the appropriate appointment category (resident or business member), as well as screen for relevant experience.

Please fill out supplemental
form
.

Question applies to
Cultural Heritage Board
Thank you for your interest in serving on the Cultural Heritage Board.

The issues and challenges facing the Cultural Heritage Board increasingly require specialized expertise; therefore, the following special criteria guide appointments to the Board.

Please fill out supplemental
form
.

Question applies to
Community Police Review Commission

COMMUNITY POLICE REVIEW COMMISSION
CPRC applicants must undergo a limited background check by the Police Department prior to serving on the Commission due to the sensitivity and confidentiality of the materials you will review that have certain legal restrictions. The background check consists of completion of a Background Personal Information form, live scan fingerprint process through the FBI and Department of Justice, a local police records check, a records check of the National Crime Information Center (NCIC), and a DMV records check that includes vehicles registered to the applicant. The DMV records check relates to City liability issues since Commissioners occasionally rive their personal vehicles to public outreach events. The background check takes approximately two weeks to complete.

Question applies to
Community Police Review Commission
Have you ever been convicted of a felony or misdemeanor?

Yes

No
Beth M. Hill-Skinner

Page 3 of 6 ends

Question applies to
Community Police Review Commission
Do you have basic computer skills?

Yes

No
Question applies to
Human Relations Commission
HUMAN RELATIONS COMMISSION:

So far as is reasonably possible, the Human Relations Commission shall include representation in the fields of education, medicine, health and welfare, law, real estate, industry, business, finance, law enforcement, and labor. The diversity of the Commission is important to achieving its stated objective.

Question applies to
Human Relations Commission
Please state your field of endeavor as it applies to the Human Relations Commission:

Question applies to
Commission on Aging
COMMISSION ON AGING:

Members must be at least 55 years old and not be a paid representative of an elder service.

Question applies to
Commission on Aging
If you answered no to the above question, what year will you turn 55? Question applies to
Commission on Aging
Are you age 55 or older?

Yes

No
Question applies to
Commission on Aging
Are you a paid representative of an elder service?

Yes

No
Question applies to
Commission on Disabilities
Thank you for your interest in serving on the Commission on Disabilities.

It is the policy of the City of Riverside to promote the full integration and participation of persons with disabilities into all areas of economic, political and community life. In order to adequately represent the needs of residents with access and functional needs.

Please fill out supplemental
form
.

NOTICE REGARDING INCOMPATIBLE OFFICES
Under existing California law, no member of City boards or commissions may simultaneously hold two public offices that are incompatible. (California Government Code Section 1099) Offices are incompatible if one of the offices has supervisory, auditory or removal power over the other, if there would be any significant clash of duties or loyalties between the offices, or if public policy considerations make it improper for one person to hold both offices.

Do you currently hold a position as an appointed or elected member of a governmental board, commission, committee, or other body?

Yes

No
Beth M. Hill-Skinner

Page 4 of 6 ends

Upload a Resume
Additional document(s)
Additional document(s)
If “Yes”, please state position:

Members of boards and commissions are covered by Workers’ Compensation insurance while serving. If appointed, completion of a LiveScan background screening is required prior to commencement of service.

Please call the City Clerk’s Office at 826-5557 or visit RiversideCA.gov/city_clerk for more information. City Clerk’s Office, City Hall, 3900 Main Street, 7th floor, Riverside, CA 92522 How did you learn about the Board and Commission vacancies? None Selected
Are you interested in being contacted by the Registrar of Voters to volunteer as a poll worker?
Yes No
1_-_Hill-Skinner__Beth_M..pdf
Beth M. Hill-Skinner Page 5 of 6
11-05-2015

Submit Date: Nov 03, 2022
First Name
Middle Initial
Last Name
Home Address
Suite or Apt
City
State
Postal Code
Primary Phone
Alternate Phone
Email Address
Employer
Job Title
The City of Riverside, CA Boards & Commissions
Application Form
Profile
Office Use Only:

Ward 4

Which Boards would you like to apply for?
Human Relations Commission: Submitted
Ms./Mr.

Dr.

Business Address
Business Phone
Length of residence in City of Riverside
41 years
Are you a registered voter of the City of Riverside?

Yes

No
Alycia
M
Benson
Riverside
CA
Riverside Unified School District
Principal on Special Assignment
Alycia M Benson

Page 1 of 5 ends

Have you ever been convicted of a crime of moral turpitude? Yes No
Do you have adequate time to serve?
Yes No
*Eligibility requirements per City Charter Article VIII Section 805.

Applications may be screened on the basis of information submitted with this form.

You are welcome to provide a resume and/or letters of endorsement.

Interests & Experiences
WHY YOU WANT TO SERVE ON A CITY BOARD OR COMMISSION:

I have been a resident of Riverside for 41 years and i would love to serve the community to ensure equity in human relation practices. I have also worked in Riverside County for the past 34 years, as a Probation Officer and in education. I believe my experiences and background will be helpful to this committee in ensuring equity for all. Finally, I am an African American woman and I have many experiences that will add to the important discussions in this committee.

EXPERIENCE OR SPECIAL KNOWLEDGE PERTAINING TO AREA(S) OF INTEREST:

I have experience working with unions during negotiations for contracts for certificated staff in a school district. In addition, I have considerable experience working with multiple cultures and community members of all backgrounds while I was serving as a Probation Officer in Riverside County, as well as while serving in education in multiple leadership roles. Furthermore, I believe all people matter and their voice should be represented.

EDUCATIONAL BACKGROUND:

BA in Sociology and Law&Society from UCR MA Education Specialist from CBU EdD in Organizational Leadership in Education from UMass Global (formerly Brandman University) OCCUPATIONAL EXPERIENCE:

Probation Officer (10 years) Teacher secondary and elementary (15 years) Asst Principal (1yr) Principal (5 yrs) Director of Student Services (1.5years)
PROFESSIONAL OR TECHNICAL ORGANIZATION MEMBERSHIPS:

CTA, California Teachers Association, ACSA, Association of California School Administrators, CAAASA, California Association of African American Superintendents and Administrators, NISL, National Institute of School Leadership

CIVIC OR COMMUNITY EXPERIENCE, MEMBERSHIPS, OR PREVIOUS PUBLIC SERVICE APPOINTMENTS:

None
Alycia M Benson Page 2 of 5

COMMISSION ON AGING
AIRPORT COMMISSION *
BUDGET ENGAGEMENT COMMISSION *

COMMUNITY POLICE REVIEW COMMISSION
CULTURAL HERITAGE BOARD *

COMMISSION ON DISABILITIES

BOARD OF ETHICS

HUMAN RELATIONS COMMISSION

HUMAN RESOURCES BOARD
BOARD OF LIBRARY TRUSTEES *

MUSEUM OF RIVERSIDE BOARD
PARK AND RECREATION COMMISSION *
PLANNING COMMISSION *
BOARD OF PUBLIC UTILITIES *
TRANSPORTATION BOARD *
*
A Statement of Economic Interests is required. Any information listed on this application is a matter of public record and will be disclosed upon request.

Under existing California law, a member of a board or commission may not make, participate in making, or attempt to influence a governmental decision if it is reasonably foreseeable that the decision could have a material financial effect on that member, the member’s immediate family, or any of his or her financial interests. There is also a special category of conflicts of interest which strictly forbids members and/or their employers from having financial interests in city contracts.

Careful consideration should be given to this issue and applicants are encouraged to contact the City Clerk’s Office if they have any questions.

Question applies to
Human Relations Commission
HUMAN RELATIONS COMMISSION:

So far as is reasonably possible, the Human Relations Commission shall include representation in the fields of education, medicine, health and welfare, law, real estate, industry, business, finance, law enforcement, and labor. The diversity of the Commission is important to achieving its stated objective.

Question applies to
Human Relations Commission
Please state your field of endeavor as it applies to the Human Relations Commission:

Any area or field where there is a need for me to serve in the Human Relations Commission.

NOTICE REGARDING INCOMPATIBLE OFFICES
Under existing California law, no member of City boards or commissions may simultaneously hold two public offices that are incompatible. (California Government Code Section 1099) Offices are incompatible if one of the offices has supervisory, auditory or removal power over the other, if there would be any significant clash of duties or loyalties between the offices, or if public policy considerations make it improper for one person to hold both offices.

Alycia M Benson

Page 3 of 5 ends

Upload a Resume
Additional document(s)
Additional document(s)
Do you currently hold a position as an appointed or elected member of a governmental board, commission, committee, or other body?
Yes No
If “Yes”, please state position:

Members of boards and commissions are covered by Workers’ Compensation insurance while serving. If appointed, completion of a LiveScan background screening is required prior to commencement of service.

Please call the City Clerk’s Office at 826-5557 or visit RiversideCA.gov/city_clerk for more information. City Clerk’s Office, City Hall, 3900 Main Street, 7th floor, Riverside, CA 92522 How did you learn about the Board and Commission vacancies? Utility Bill Insert
Are you interested in being contacted by the Registrar of Voters to volunteer as a poll worker?
Yes No
alycia_resume4_july2022.pdf
Alycia M Benson Page 4 of 5
Alycia Benson, Ed.D.

Cell:

education
2021 Doctorate Degree in Organizational Leadership UMass Global University, Irvine, CA 2014 Administrative Services Credential National University, La Jolla, CA 2003 Master of Science - Education Specialist California Baptist University, Riverside, CA 2002 Multiple Subject Teaching Credential/CLAD California Baptist University, Riverside, CA 2002 Special Education Credential Mild/Moderate California Baptist University, Riverside, CA 1990 Bachelor of Arts - Sociology/Law & Society UC Riverside, Riverside, CA Leadership experience

• Director of Student Support Services and Educational Options • Principal, Midland Elementary School
• District SARB and Expulsion Hearing Officer
• Advisor to the Office of Equity & Inclusion
at UMass Global
• California African American Administrator
and Superintendents Association presenter
(CAAASA)
• Parent Education Coordinator and presenter
• CBU mentor for refugee college students in Malaysia

Work history

2022-present Adjunct Professor at Cal Baptist University • Teach graduate students in curriculum theory and teacher prep courses 2021- 2022 Director of Student Support Services- Hemet Unified School District • Transform and coordinate the district’s Centralized Registration Center creating a welcoming functional environment for stakeholders • Serve as official custodian of records
• Process inter/intra district transfer requests from school, district and county officials
• District liaison for McKinney Vento Homeless/foster youth • Assist in developing district wide policies, plans, procedures and technologies related to student safety
• Analyze suspension and attendance data for preventive planning and reporting to administration
• Serve as special consultant to site administrators and District personnel, parents and students on problems exceptionally difficult to solve • Collaborate with Human Resources on the recruitment and hiring of well- qualified certificated and classified employees for Pupil Services programs • Title IX coordinator
• Create and maintain department budgets and contracts

• SARB chairperson
• Administrative officer in student expulsion hearings
• Supervise staff assigned to Pupil Services
• Develop a Student Study Team process to address Multi-Tiered Systems of Support for behavior with Special Education and Educational Services staff • Provide professional development and support for Alternative to Suspension (ATS) teachers, and site administrative teams on a variety of discipline practices
• Collaborate with district, county, and community leaders on best practices to reduce chronic absenteeism and student discipline
• Reduce chronic absentee rates by creating engagement teams at school campuses and providing multi-tiered systems of support
2000— 2021 Teacher, Assistant Principal, Principal - Moreno Valley Unified School District • Serve as elementary teacher and secondary special education teacher • Interpret District and school educational programs to parents, staff, and the community and assists with a variety of community relations and awareness problems.
• Provide leadership to the instructional program including development of cur- ricular experiments, pilot programs, and innovative instruction. • Plan, organize, and implement a school site program for the supervision and behavior management of students.
• Confer with pupils, parents, teachers, law enforcement officers, and represent- atives of social service agencies to resolve students’ serious academic, attend- ance, and behavioral problems.
• Evaluate performance of assigned certificated and classified staff. • Provide for and monitor the safety and security of students and staff, build- ings, parking areas, and grounds.
• Create short and long term plans for student success in academics, attendance and discipline.
• Supervise the maintenance of student records, school-wide testing programs, and grade reporting.
• Manage all school budgets and prepare reports
• Prepare and distribute the school plan for student achievement (SPSA) • Serve as Certificated negotiations member
• Reduce chronic absentee and suspension rates annually by 10% • Increase academic growth annually by more than 10% in Language Arts and math 1991-2000 Deputy Probation Officer
Riverside County Probation/San Bernardino Probation
• Provide supervision of juveniles and adults that are on felony proba tion • Investigate charges and prepare court reports for adjudication of ju veniles and sentencing of adults
• Conduct home visits and work with various community leaders to include school personnel, and social workers
• Provide training and parenting classes for adult probationers • Perform duties as a Drug Court Officer with Judge Morris and Judge McCarville
• Collaborate with law enforcement, gang task forces, and local school districts • SARB review board member

PROFESSIONAL RECOGNITION AND AWARDS
• 2021 CBU Alumni Commencement Speaker for Master’s graduates • 2018-2019 California PBIS Coalition Silver Award State Recognition • 2019 Saluting Education Superintendent’s Award Positive Behavioral Interventions and Supports • 2019 Saluting Education Superintendent’s Award Equity Champion

PROFESSIONAL DEVELOPMENT AND TRAINING
• ACSA Pupil Services Academy
• ACSA Human Resources Bootcamp Academy
• Active Shooter and Planning for School Bomb training
• National Institute for School Leadership (NISL) training • Certificated negotiations training
• Unconscious Bias Training
• Student Study Team (SST) and 504 Plans training
• Search and Seizure training
• Reflective Coach and FRISK training
• Positive Behavioral Interventions and Support training • Individualized Education Plan (IEP) training
• SARB certification

PROFESSIONAL MEMBERSHIPS/ACTIVITY
• Vice President King High Choir Boosters in RUSD
• Association of California School Administrators (ACSA) • California African American Administrator and Superintendents As- sociation (CAAASA)
• Association of Moreno Valley Management Personnel (AMVMP)- President elect
• Office of Equity & Inclusion Advisory Initiative member at UMass Global
• CBU CERTE mentor for refugee college students in Malaysia

REFERENCES
Available upon request
Submit Date: Jan 18, 2023
First Name
Middle Initial
Last Name
Home Address
Suite or Apt
City
State
Postal Code
Primary Phone
Alternate Phone
Email Address
Employer
Job Title
The City of Riverside, CA Boards & Commissions
Application Form
Profile
Office Use Only:

Ward 3

Which Boards would you like to apply for?
Budget Engagement Commission: Submitted
Board of Ethics: Submitted
Human Resources Board: Submitted
Ms./Mr.

Mr.

Business Address
Business Phone
Length of residence in City of Riverside
15 months
Are you a registered voter of the City of Riverside?

Yes

No
Kelechi
E
Azubuike
Riverside
CA
Guard Cardz Academy
President, CEO
Kelechi E Azubuike

Page 1 of 5 ends

Have you ever been convicted of a crime of moral turpitude? Yes No
Do you have adequate time to serve?
Yes No
*Eligibility requirements per City Charter Article VIII Section 805.

Applications may be screened on the basis of information submitted with this form.

You are welcome to provide a resume and/or letters of endorsement.

Interests & Experiences
WHY YOU WANT TO SERVE ON A CITY BOARD OR COMMISSION:

I would like the honor to serve my community via a board or commission because I actually live in riverside and I care about the success and progress of the city and county.

EXPERIENCE OR SPECIAL KNOWLEDGE PERTAINING TO AREA(S) OF INTEREST:

I have managed over 5000 employees over the last 11 years Extensive knowledge in human resources and dealing with employee related issues. Remitted several million dollars in State and federal taxes to the government over the last 11 years. Implemented programs for free security guard training courses for current and honorably retired military.

EDUCATIONAL BACKGROUND:

Graduated chino hills high school in 2007 Currently enrolled in final semester at Riverside Community College. Preparing to transfer to University of California Riverside in spring 2022 OCCUPATIONAL EXPERIENCE:

I have owned and operated my own security company that was established in 2011. I was the youngest licensee in California history to be awarded a DCA Private Patrol Operator license to operate an Armed security agency. Through my security academy I have trained and graduated over 2000 security officer trainees within the inland empire area. I am a federally licensed fingerprinting technician PROFESSIONAL OR TECHNICAL ORGANIZATION MEMBERSHIPS:

DCA BSIS NRA ASIS INTERNATIONAL

CIVIC OR COMMUNITY EXPERIENCE, MEMBERSHIPS, OR PREVIOUS PUBLIC SERVICE APPOINTMENTS:

Provided private security services for guests at the Riverside community center and parks. We were referred to secure over 50 events between the years 2014 and 2016. We provided security services for weddings, quinceanera‘s and baby showers All at the Riverside community center parks Kelechi E Azubuike Page 2 of 5

COMMISSION ON AGING
AIRPORT COMMISSION *
BUDGET ENGAGEMENT COMMISSION *

COMMUNITY POLICE REVIEW COMMISSION
CULTURAL HERITAGE BOARD *

COMMISSION ON DISABILITIES

BOARD OF ETHICS

HUMAN RELATIONS COMMISSION

HUMAN RESOURCES BOARD
BOARD OF LIBRARY TRUSTEES *

MUSEUM OF RIVERSIDE BOARD
PARK AND RECREATION COMMISSION *
PLANNING COMMISSION *
BOARD OF PUBLIC UTILITIES *
TRANSPORTATION BOARD *
*
A Statement of Economic Interests is required. Any information listed on this application is a matter of public record and will be disclosed upon request.

Under existing California law, a member of a board or commission may not make, participate in making, or attempt to influence a governmental decision if it is reasonably foreseeable that the decision could have a material financial effect on that member, the member’s immediate family, or any of his or her financial interests. There is also a special category of conflicts of interest which strictly forbids members and/or their employers from having financial interests in city contracts.

Careful consideration should be given to this issue and applicants are encouraged to contact the City Clerk’s Office if they have any questions.

Question applies to
Budget Engagement Commission
Thank you for your interest in serving on the City's Budget Engagement Commission. These supplemental questions are mandatory and will help the City determine the appropriate appointment category (resident or business member), as well as screen for relevant experience.

Please fill out supplemental
form
.

NOTICE REGARDING INCOMPATIBLE OFFICES
Under existing California law, no member of City boards or commissions may simultaneously hold two public offices that are incompatible. (California Government Code Section 1099) Offices are incompatible if one of the offices has supervisory, auditory or removal power over the other, if there would be any significant clash of duties or loyalties between the offices, or if public policy considerations make it improper for one person to hold both offices.

Do you currently hold a position as an appointed or elected member of a governmental board, commission, committee, or other body?

Yes

No
Kelechi E Azubuike

Page 3 of 5 ends

Upload a Resume
Additional document(s)
Additional document(s)
If “Yes”, please state position:

Members of boards and commissions are covered by Workers’ Compensation insurance while serving. If appointed, completion of a LiveScan background screening is required prior to commencement of service.

Please call the City Clerk’s Office at 826-5557 or visit RiversideCA.gov/city_clerk for more information. City Clerk’s Office, City Hall, 3900 Main Street, 7th floor, Riverside, CA 92522 How did you learn about the Board and Commission vacancies? Other
Are you interested in being contacted by the Registrar of Voters to volunteer as a poll worker?
Yes No
Kelechi E Azubuike Page 4 of 5
Submit Date: May 24, 2018
First Name
Middle Initial
Last Name
Home Address
Suite or Apt
City
State
Postal Code
Primary Phone
Alternate Phone
Email Address
Employer
Job Title
The City of Riverside, CA Boards & Commissions
Application Form
Profile
Office Use Only:

Ward 5

Which Boards would you like to apply for?
Commission on Aging: Submitted
Airport Commission: Submitted
Budget Engagement Commission: Submitted
Community Police Review Commission: Submitted
Cultural Heritage Board: Submitted
Commission on Disabilities: Submitted
Board of Ethics: Submitted
Human Relations Commission: Submitted
Human Resources Board: Submitted
Board of Library Trustees: Submitted
Museum of Riverside Board: Submitted
Park and Recreation Commission: Submitted
Planning Commission: Submitted
Board of Public Utilities: Submitted
Transportation Board: Submitted
Ms./Mr.

Ms.

Business Address
Sandy
R.

Tarmo
Riverside
CA
Sandy R. Tarmo

Page 1 of 6 ends

Business Phone
Length of residence in City of Riverside
Are you a registered voter of the City of Riverside?
Yes No
Have you ever been convicted of a crime of moral turpitude? Yes No
Do you have adequate time to serve?
Yes No
*Eligibility requirements per City Charter Article VIII Section 805.

Applications may be screened on the basis of information submitted with this form.

You are welcome to provide a resume and/or letters of endorsement.

Interests & Experiences
WHY YOU WANT TO SERVE ON A CITY BOARD OR COMMISSION:

EXPERIENCE OR SPECIAL KNOWLEDGE PERTAINING TO AREA(S) OF INTEREST:

EDUCATIONAL BACKGROUND:

OCCUPATIONAL EXPERIENCE:

PROFESSIONAL OR TECHNICAL ORGANIZATION MEMBERSHIPS:

CIVIC OR COMMUNITY EXPERIENCE, MEMBERSHIPS, OR PREVIOUS PUBLIC SERVICE APPOINTMENTS:

Sandy R. Tarmo Page 2 of 6

COMMISSION ON AGING
AIRPORT COMMISSION *
BUDGET ENGAGEMENT COMMISSION *

COMMUNITY POLICE REVIEW COMMISSION
CULTURAL HERITAGE BOARD *

COMMISSION ON DISABILITIES

BOARD OF ETHICS

HUMAN RELATIONS COMMISSION

HUMAN RESOURCES BOARD
BOARD OF LIBRARY TRUSTEES *

MUSEUM OF RIVERSIDE BOARD
PARK AND RECREATION COMMISSION *
PLANNING COMMISSION *
BOARD OF PUBLIC UTILITIES *
TRANSPORTATION BOARD *
*
A Statement of Economic Interests is required. Any information listed on this application is a matter of public record and will be disclosed upon request.

Under existing California law, a member of a board or commission may not make, participate in making, or attempt to influence a governmental decision if it is reasonably foreseeable that the decision could have a material financial effect on that member, the member’s immediate family, or any of his or her financial interests. There is also a special category of conflicts of interest which strictly forbids members and/or their employers from having financial interests in city contracts.

Careful consideration should be given to this issue and applicants are encouraged to contact the City Clerk’s Office if they have any questions.

Question applies to
Budget Engagement Commission
Thank you for your interest in serving on the City's Budget Engagement Commission. These supplemental questions are mandatory and will help the City determine the appropriate appointment category (resident or business member), as well as screen for relevant experience.

Please fill out supplemental
form
.

Question applies to
Cultural Heritage Board
Thank you for your interest in serving on the Cultural Heritage Board.

The issues and challenges facing the Cultural Heritage Board increasingly require specialized expertise; therefore, the following special criteria guide appointments to the Board.

Please fill out supplemental
form
.

Question applies to
Community Police Review Commission

COMMUNITY POLICE REVIEW COMMISSION
CPRC applicants must undergo a limited background check by the Police Department prior to serving on the Commission due to the sensitivity and confidentiality of the materials you will review that have certain legal restrictions. The background check consists of completion of a Background Personal Information form, live scan fingerprint process through the FBI and Department of Justice, a local police records check, a records check of the National Crime Information Center (NCIC), and a DMV records check that includes vehicles registered to the applicant. The DMV records check relates to City liability issues since Commissioners occasionally rive their personal vehicles to public outreach events. The background check takes approximately two weeks to complete.

Question applies to
Community Police Review Commission
Have you ever been convicted of a felony or misdemeanor?

Yes

No
Sandy R. Tarmo

Page 3 of 6 ends

Question applies to
Community Police Review Commission
Do you have basic computer skills?

Yes

No
Question applies to
Human Relations Commission
HUMAN RELATIONS COMMISSION:

So far as is reasonably possible, the Human Relations Commission shall include representation in the fields of education, medicine, health and welfare, law, real estate, industry, business, finance, law enforcement, and labor. The diversity of the Commission is important to achieving its stated objective.

Question applies to
Human Relations Commission
Please state your field of endeavor as it applies to the Human Relations Commission:

Question applies to
Commission on Aging
COMMISSION ON AGING:

Members must be at least 55 years old and not be a paid representative of an elder service.

Question applies to
Commission on Aging
If you answered no to the above question, what year will you turn 55? Question applies to
Commission on Aging
Are you age 55 or older?

Yes

No
Question applies to
Commission on Aging
Are you a paid representative of an elder service?

Yes

No
Question applies to
Commission on Disabilities
Thank you for your interest in serving on the Commission on Disabilities.

It is the policy of the City of Riverside to promote the full integration and participation of persons with disabilities into all areas of economic, political and community life. In order to adequately represent the needs of residents with access and functional needs.

Please fill out supplemental
form
.

NOTICE REGARDING INCOMPATIBLE OFFICES
Under existing California law, no member of City boards or commissions may simultaneously hold two public offices that are incompatible. (California Government Code Section 1099) Offices are incompatible if one of the offices has supervisory, auditory or removal power over the other, if there would be any significant clash of duties or loyalties between the offices, or if public policy considerations make it improper for one person to hold both offices.

Do you currently hold a position as an appointed or elected member of a governmental board, commission, committee, or other body?

Yes

No
Sandy R. Tarmo

Page 4 of 6 ends

Upload a Resume
Additional document(s)
Additional document(s)
If “Yes”, please state position:

Members of boards and commissions are covered by Workers’ Compensation insurance while serving. If appointed, completion of a LiveScan background screening is required prior to commencement of service.

Please call the City Clerk’s Office at 826-5557 or visit RiversideCA.gov/city_clerk for more information. City Clerk’s Office, City Hall, 3900 Main Street, 7th floor, Riverside, CA 92522 How did you learn about the Board and Commission vacancies? None Selected
Are you interested in being contacted by the Registrar of Voters to volunteer as a poll worker?
Yes No
5_-_Tarmo__Sandra.pdf
Sandy R. Tarmo Page 5 of 6

Submit Date: Feb 19, 2022
First Name
Middle Initial
Last Name
Home Address
Suite or Apt
City
State
Postal Code
Primary Phone
Alternate Phone
Email Address
Employer
Job Title
The City of Riverside, CA Boards & Commissions
Application Form
Profile
Office Use Only:

Ward 1

Which Boards would you like to apply for?
Board of Ethics: Submitted
Human Relations Commission: Submitted
Human Resources Board: Submitted
Ms./Mr.

Mr.

Business Address
Business Phone
Length of residence in City of Riverside
3 years
Are you a registered voter of the City of Riverside?

Yes

No
Gustavo
Garcia Jr.

Riverside
CA
University of California, Riverside
Teaching Assistant
Gustavo Garcia Jr.

Page 1 of 5 ends

Have you ever been convicted of a crime of moral turpitude? Yes No
Do you have adequate time to serve?
Yes No
*Eligibility requirements per City Charter Article VIII Section 805.

Applications may be screened on the basis of information submitted with this form.

You are welcome to provide a resume and/or letters of endorsement.

Interests & Experiences
WHY YOU WANT TO SERVE ON A CITY BOARD OR COMMISSION:

In brief, I love the city of Riverside. I moved here from Los Angeles to begin my graduate studies at UCR, and since then, I have acquired a strong sense of obligation to my community. I feel that the best way to serve my community is through my extensive philosophical training. As a philosopher, I am trained to critically analyze the rationale of argumentation. This skill would be useful to the Board of Ethics in adjudicating complaints concerning prohibited behaviors as specified in the Code of Ethics and Conduct.

My proficiency in hermeneutics would serve the purpose of providing reasonable interpretations of the Code of Ethics and Conduct. I am also trained to assess theories of ethics, this would be helpful when reviewing the efficacy of codes and conduct that are proposed to the City Council. I want to serve on the Board of Ethics to ensure that Riverside thrives not through unjust and illegal means, which hurts the city, especially people in underserved communities and marginalized communities, but rather through Codes and Conduct that are meant to prosper the city justly as a whole.

EXPERIENCE OR SPECIAL KNOWLEDGE PERTAINING TO AREA(S) OF INTEREST:

I have spent approximately 11 years studying philosophy, especially ethics. One of the important benefits I have derived from my
EDUCATIONAL BACKGROUND:

University of California, Riverside Ph.D. Student- Philosophy Expected Graduation: Spring 2023 M.A.

Philosophy Winter 2021 California State University, Dominguez Hills B.A. Philosophy, May 2018 OCCUPATIONAL EXPERIENCE:

I have 12 years of work experience in elderly care. For the last 4 years, I have worked as a graduate teaching assistant in the philosophy department at the University of California, Riverside.

PROFESSIONAL OR TECHNICAL ORGANIZATION MEMBERSHIPS:

CIVIC OR COMMUNITY EXPERIENCE, MEMBERSHIPS, OR PREVIOUS PUBLIC SERVICE APPOINTMENTS:

Gustavo Garcia Jr. Page 2 of 5

COMMISSION ON AGING
AIRPORT COMMISSION *
BUDGET ENGAGEMENT COMMISSION *

COMMUNITY POLICE REVIEW COMMISSION
CULTURAL HERITAGE BOARD *

COMMISSION ON DISABILITIES

BOARD OF ETHICS

HUMAN RELATIONS COMMISSION

HUMAN RESOURCES BOARD
BOARD OF LIBRARY TRUSTEES *

MUSEUM OF RIVERSIDE BOARD
PARK AND RECREATION COMMISSION *
PLANNING COMMISSION *
BOARD OF PUBLIC UTILITIES *
TRANSPORTATION BOARD *
*
A Statement of Economic Interests is required. Any information listed on this application is a matter of public record and will be disclosed upon request.

Under existing California law, a member of a board or commission may not make, participate in making, or attempt to influence a governmental decision if it is reasonably foreseeable that the decision could have a material financial effect on that member, the member’s immediate family, or any of his or her financial interests. There is also a special category of conflicts of interest which strictly forbids members and/or their employers from having financial interests in city contracts.

Careful consideration should be given to this issue and applicants are encouraged to contact the City Clerk’s Office if they have any questions.

Question applies to
Human Relations Commission
HUMAN RELATIONS COMMISSION:

So far as is reasonably possible, the Human Relations Commission shall include representation in the fields of education, medicine, health and welfare, law, real estate, industry, business, finance, law enforcement, and labor. The diversity of the Commission is important to achieving its stated objective.

Question applies to
Human Relations Commission
Please state your field of endeavor as it applies to the Human Relations Commission:

Education (although I'm open to the other fields as well)

NOTICE REGARDING INCOMPATIBLE OFFICES
Under existing California law, no member of City boards or commissions may simultaneously hold two public offices that are incompatible. (California Government Code Section 1099) Offices are incompatible if one of the offices has supervisory, auditory or removal power over the other, if there would be any significant clash of duties or loyalties between the offices, or if public policy considerations make it improper for one person to hold both offices.

Gustavo Garcia Jr.

Page 3 of 5 ends

Upload a Resume
Additional document(s)
Additional document(s)
Do you currently hold a position as an appointed or elected member of a governmental board, commission, committee, or other body?
Yes No
If “Yes”, please state position:

Members of boards and commissions are covered by Workers’ Compensation insurance while serving. If appointed, completion of a LiveScan background screening is required prior to commencement of service.

Please call the City Clerk’s Office at 826-5557 or visit RiversideCA.gov/city_clerk for more information. City Clerk’s Office, City Hall, 3900 Main Street, 7th floor, Riverside, CA 92522 How did you learn about the Board and Commission vacancies? Web Site
Are you interested in being contacted by the Registrar of Voters to volunteer as a poll worker?
Yes No
Garcia.Gustavo.Resume_2.pdf
Gustavo Garcia Jr. Page 4 of 5

G UST AVO G ARCIA JR

E DUCATION

U NIVERSITY O F C ALIFORNIA , R IVERSIDE
Ph.D. Philosophy Student Expected Graduations: May 2023 Concentration: Medical ethics/bioethics and elderly care.

M.A. Philosophy January 2021

C ALIFORNIA S T ATE U NIVERSITY D OMINGUEZ H ILLS , C ARSON CA, B.A. Philosophy May 2018 Concentration: Aging and technology; Honor Roll Dean's List; Ronald E. McNair Scholar.

L OS A NGELES S OUTHWEST C OLLEGE , L OS A NGELES CA, Transfer student 2008-2014 General education with a focus on nursing and life sciences; Honor Roll Dean's List.

A CADEMIC

R ESEARCH

Princeton University
2017 Research project: “ Autonomy After Alzheimer’s” Supervisor: Dr. Gideon Rosen.

P ROFESSIONAL

A CHIEVEMENTS

California Residential Care Facilities for the Elderly license 2016-2022
W ORK

H ISTORY

University of California, Riverside Extension Program Part-Time Philosophy Instructor
Summer 2021-2022

W ORK

H ISTORY
University of California, Riverside
Part-Time Philosophy Instructor
Summer 2022
Philosophy Teaching Assistant
Fall 2019-Spring 2023
Nazareth House Los Angeles
Manager on Duty
January 2019- December 2020
● Trained company staff bi-monthly on Title 22 regulations and company policy. ● Managed direct care department schedules (reduced overtime, earned the company $3000/month) and resident care plans (saved the company $16,000 in 3 months). ● Wrote monthly progress reports for the CEO and CFO. ● Responsible for communicating with the local LPA.

In-service Coordinator
2014-2019
● Produced and presented state compliant seminars on the following subjects: The aging process, physical limitations, special needs of the elderly, the importance and techniques of personal care services, residents’ rights and personal rights, medication policies and procedures, psychosocial needs of the elderly, recognizing the signs and symptoms of dementia in individuals, building and fire safety and appropriate response to emergencies, cultural competency and sensitivity in issues relating to the underserved aging LGBT community.
● Ensured and documented staff training: 40 hours for new staff and 20 hours of yearly training for continuing employees.
● Developed interdisciplinary-based care to provide training for team members and families.
● Worked with Nurse Manager to provide ongoing assessments of residents' physical and psycho-social statuses.

Med-Tech
2008-2014
● Assisted residents with medication self-administration: reminded residents to take meds, centrally stored meds with proper labeling, and documented medication history. ● Communicated changes in conditions to physicians, families, and care staff to improve and promote resident well-being.
● Served as caregiver shift-leader.
● Managed med carts to ensure compliance with state regulations.

S KILLS
Languages : Bilingual abilities (Fluent in Spanish).

Technology Proficiency : MS Word, Excel, Power Point, and some Quickbooks.

Subcategories : Decision-making. Robust knowledge of dementia care (including Alzheimer’s). Excellent writing, communication, public relations, and critical thinking.

Gustavo Garcia JR
Submit Date: Nov 03, 2022
First Name
Middle Initial
Last Name
Home Address
Suite or Apt
City
State
Postal Code
Primary Phone
Alternate Phone
Email Address
Employer
Job Title
The City of Riverside, CA Boards & Commissions
Application Form
Profile
Office Use Only:

Ward 4

Which Boards would you like to apply for?
Airport Commission: Submitted
Board of Ethics: Submitted
Board of Library Trustees: Submitted
Ms./Mr.

Natalie
Business Address
Business Phone
Length of residence in City of Riverside
10 Are you a registered voter of the City of Riverside?

Yes

No
Gomez
M
Gomez
Riverside
CA
IHSS
Caregiver
Gomez M Gomez

Page 1 of 5 ends

Have you ever been convicted of a crime of moral turpitude?

Yes

No
Do you have adequate time to serve?

Yes

No
*Eligibility requirements per City Charter Article VIII Section 805.

Applications may be screened on the basis of information submitted with this form.

You are welcome to provide a resume and/or letters of endorsement.

Interests & Experiences
WHY YOU WANT TO SERVE ON A CITY BOARD OR COMMISSION:

Knowledge and educational reasons
EXPERIENCE OR SPECIAL KNOWLEDGE PERTAINING TO AREA(S) OF INTEREST:

Registrar voter employee
EDUCATIONAL BACKGROUND:

Medical
Phlebotomy
OCCUPATIONAL EXPERIENCE:

Housekeeping, clerical, patient care customer care in hospital setting.

PROFESSIONAL OR TECHNICAL ORGANIZATION MEMBERSHIPS:

None

CIVIC OR COMMUNITY EXPERIENCE, MEMBERSHIPS, OR PREVIOUS PUBLIC SERVICE APPOINTMENTS:

Gomez M Gomez

Page 2 of 5 ends

COMMISSION ON AGING
AIRPORT COMMISSION *
BUDGET ENGAGEMENT COMMISSION *

COMMUNITY POLICE REVIEW COMMISSION
CULTURAL HERITAGE BOARD *

COMMISSION ON DISABILITIES

BOARD OF ETHICS

HUMAN RELATIONS COMMISSION

HUMAN RESOURCES BOARD
BOARD OF LIBRARY TRUSTEES *

MUSEUM OF RIVERSIDE BOARD
PARK AND RECREATION COMMISSION *
PLANNING COMMISSION *
BOARD OF PUBLIC UTILITIES *
TRANSPORTATION BOARD *
*
A Statement of Economic Interests is required. Any information listed on this application is a matter of public record and will be disclosed upon request.

Under existing California law, a member of a board or commission may not make, participate in making, or attempt to influence a governmental decision if it is reasonably foreseeable that the decision could have a material financial effect on that member, the member’s immediate family, or any of his or her financial interests. There is also a special category of conflicts of interest which strictly forbids members and/or their employers from having financial interests in city contracts.

Careful consideration should be given to this issue and applicants are encouraged to contact the City Clerk’s Office if they have any questions.

NOTICE REGARDING INCOMPATIBLE OFFICES
Under existing California law, no member of City boards or commissions may simultaneously hold two public offices that are incompatible. (California Government Code Section 1099) Offices are incompatible if one of the offices has supervisory, auditory or removal power over the other, if there would be any significant clash of duties or loyalties between the offices, or if public policy considerations make it improper for one person to hold both offices.

Do you currently hold a position as an appointed or elected member of a governmental board, commission, committee, or other body?

Yes

No
If “Yes”, please state position:

Gomez M Gomez

Page 3 of 5 ends

Upload a Resume
Additional document(s)
Additional document(s)
Members of boards and commissions are covered by Workers’ Compensation insurance while serving. If appointed, completion of a LiveScan background screening is required prior to commencement of service.

Please call the City Clerk’s Office at 826-5557 or visit RiversideCA.gov/city_clerk for more information. City Clerk’s Office, City Hall, 3900 Main Street, 7th floor, Riverside, CA 92522 How did you learn about the Board and Commission vacancies? Web Site
Are you interested in being contacted by the Registrar of Voters to volunteer as a poll worker?
Yes No
Gomez M Gomez Page 4 of 5

← All documents from this meeting