Cities Index.
CPRC Ward 2 Applications

Riverside City Council
August 1, 2023

Document
CPRC Ward 2 Applications
Meeting
August 1, 2023
Body
Riverside City Council
Pages
4
Original file
1.5 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: Jan 28, 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 2

Which Boards would you like to apply for?
Community Police Review Commission: Submitted
Board of Ethics: Submitted
Planning Commission: Submitted
Ms./Mr.

Mr.

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

Yes

No
Justin
I
Ramirez
Riverside
CA
U.S. Army
Counterintelligence Special
Agent
Justin I Ramirez

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 want to serve so that I'm better engaged in my community and the city I live in.

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

I have experience in working with local city government with code enforcement, planning and law enforcement.

EDUCATIONAL BACKGROUND:

Associates Degree in Counterintelligence Studies. Currently working on my Bachelors Degree at UC Riverside.

OCCUPATIONAL EXPERIENCE:

Worked in the Military and City Government for the past 11 years.

PROFESSIONAL OR TECHNICAL ORGANIZATION MEMBERSHIPS:

California Association of Code Enforcement Officers

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

American Legion and Veterans of Foreign Wars
Justin I Ramirez Page 2 of 5

COMMISSION ON AGING
AIRPORT COMMISSION *
BUDGET ENGAGEMENT COMMISSION *

COMMUNITY POLICE REVIEW COMMISSION
CULTURAL HERITAGE BOARD *

COMMISSION OF THE DEAF

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:

Justin I Ramirez

Page 3 of 5 ends

Upload a Resume
Additional document(s)
Additional document(s)
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
Question applies to Community Police Review Commission
Do you have basic computer skills?
Yes No
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
Justin_Ramirez_Resume_JAN_23.docx
Justin I Ramirez Page 4 of 5
Justin Ignacio Ramirez III

PROFESSIONAL SUMMARY
Demonstrated unique skill set and expertise in the field of Counterintelligence, Program Protection and Site Security. Over 12 years working with the U.S. Army and City Government has gained me a wealth of knowledge for making key decisions on how to safeguard our Nation’s Classified Materials.

PROFESSIONAL EXPERIENCE
October 2018 – Present (Reserves)
U.S. Army Reserves – A CO 314th MI BN Bell, CA
Military Intelligence – Counterintelligence Special Agent o Deployed to Kuwait, Iraq and Syria in April 2022 to February 2023 in support of Combined Joint Task Force Operation Inherent Resolve in the continued effort to defeat Terrorism in order to set conditions for long-term security in the Middle East. o Investigations of: National Security Crimes, Defection of Military personnel and DA Civilians overseas, security violations, AWOL/Deserters and Suicides involving someone with access to Classified Material
o Operations: Counterintelligence (CI) Special Operations/National Foreign CI Program, Offensive CI Programs, CI Support to Force Protection and Participate in Human Intelligence Operations
o Collection: Intelligence collection related to Foreign Intelligence Service activities, intelligence collection related to National Security Crimes, write Intelligence Information Reports and Intelligence Debriefings
o Analysis and Production: CI analysis focusing on Foreign Intelligence, Insider Threat, CI Threat and Vulnerability Assessments, CI Studies of Foreign Intelligence Entities and Insider Threats
o Interpret and implement Security Classification Guidance o Ensure all classified materials are marked and controlled in accordance with Department of Defense Guidelines
o Conduct Counterintelligence Threat Vulnerability and Assessments to help Commanders make informed decisions on overall Base Security
o Conduct Threat Awareness and Reporting Program Briefs o Department of Defense Top Secret Security Clearance (TS-SCI) with active CI Polygraph March 2018 – Present
City of Highland – Highland, CA
Code Compliance Officer
o Issue liens, warrants or notices to abate on properties considered a public nuisance o Ensure that Commercial, Residential and Business Licenses are current with all business/properties throughout the City
o Investigate cases for nuisance abatement and code violations; perform citywide surveillance, enforcing compliance with city ordinances
o Coordinate with local Law Enforcement to investigate cases of vagrancy, squatting and trespassing when dealing with the homeless
o Prepare detailed case notes and work with the City Attorney’s Office regarding legal issues on cases that may appear in court
February 2017 – March 2018
1 City of Moreno Valley Code & Neighborhood Services – Moreno Valley, CA Code Compliance Officer
o Investigate cases for nuisance abatement and code violations; perform citywide surveillance, enforcing compliance with city ordinances
o Issue citations for parking violations as needed
o Removing signs from the public right-of-way
o Identifying locations of abandoned shopping carts and debris throughout the City o Assisting in the identification of specific violations as assigned by Code Compliance Supervisor
o Help to preserve the community, enhance property values and improve the overall quality of life throughout the City of Moreno V alley
o Educating the public on City Standards and Code Regulations February 2012 – September 2018 (Reserves)
California Army National Guard – B CO 1-185 IN Riverside, CA Infantrymen/ Specialist/E-4
o Serve as a Fire Team Leader with responsibility of 3 subordinate Soldiers o Perform monthly inventories on sensitive items of all assigned equipment o Trained in close quarters combat and to engage and close in with the enemy with hand to hand combat or various weapons systems
o Operate, maintain, and clean assigned various weapons platforms o Sexual Harassment/Assault Response and Prevention Coordinator and Victims Advocate for my unit
o Risk Management and Safety Management Coordinator for my Troop Company o Deployed to Germany in April 2016 for participation in Saber Junction 16-04 Mission between U.S. Military and Multinational European Military’s o Deployed to the Philippines in April 2013 for participation in Balikatan 2013 Mission between U.S. Military and Philippines Military
o Awarded the Army Achievement Medal during deployment in the Philippines May 2013– February 2017 (Active Duty)
U.S Army V eterans Honors Program – Riverside National Cemetery, CA U.S. Army Honor Guard Team Member
o Active Duty Operational Support with the CA Army National Guard-Honor Guard Team 4 (Riverside National Cemetery) and Team 7 (SF Bay Area)
o Perform Military Funeral Honors for U.S. Army V eterans o Level II Army Honor Guard Instructor Certified
o Southern CA Army Honor Guard Training NCOIC
o In charge of over 15 M-day (part time) subordinate soldiers o Training and mentoring of soldiers to be in compliance of Honor Guard Principles and Standard Operating Procedures
o Folding and presentation of the U.S. Flag to the next of kin, pall bearing and escorting of Veteran remains, playing of taps and firing of rifle volleys o Coordinate and schedule Military Funeral Honors with the funeral home and family members o Performed over 1,800 U.S. Army Honor Guard Services
o Awarded the Honor Guard Tab and Honor Guard Badge
November 2006 – February 2012
Neiman Marcus – S.F. Bay Area
Loss Prevention Investigator
o Monitor company assets and property via CCTV
o Detain and interview shoplifter's
2 o Conduct awareness meetings with associates regarding profit protection and risk management strategies
o Entrusted with keys & alarm codes to close and open the store o Identify and investigate fraudulent activity involving credit cards and checks o Detain and interview suspects involved in identity theft and credit fraud o Conduct audits on all registers and precious jewelry, monitor and neutralize internal shortage o Head of the safety committee to ensure OSHA standards were kept o Conduct OSHA safety standards classes to all employees

EDUCATION
2023 Cochise College – Sierra Vista, AZ
Associates Degree in Counterintelligence Studies
2006 Mt. Pleasant High School – San Jose, CA
High School Diploma

QUALIFICATIONS
o Department of Defense Top Secret Security Clearance – Sensitive Compartmented Information (TS-SCI) with active CI Polygraph
o Proficient in Microsoft Office and Outlook
o Bi-Lingual in basic Spanish
o U.S. Army Risk Management Basic Course
o U.S. Army Injury Prevention through Leadership Course o U.S. Army Commanders Safety Course
o U.S. Army Sexual Harassment/Assault Response & Prevention (SHARP) Course o U.S. Army SHARP Coordinator and Victims Advocate Course o U.S. Army Structured Self Development Level 1
o U.S. Department of Defense Anti-Terrorism Level 1 Awareness Training o U.S. Department of Defense Information Assurance Awareness Training o U.S. Department of Defense Information and Security Prevention Course 3 Submit Date: Jun 01, 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 2

Which Boards would you like to apply for?
Commission on Aging: Submitted
Airport Commission: Submitted
Community Police Review Commission: Submitted
Cultural Heritage Board: Submitted
Commission on Disabilities: 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.

Mr.

Business Address
Business Phone
Gary
A.

Ringrose
Riverside
CA
Gary A. Ringrose

Page 1 of 6 ends

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:

Gary A. Ringrose Page 2 of 6

COMMISSION ON AGING
AIRPORT COMMISSION *
BUDGET ENGAGEMENT COMMISSION *

COMMUNITY POLICE REVIEW COMMISSION
CULTURAL HERITAGE BOARD *

COMMISSION OF THE DEAF

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:

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
.

Gary A. Ringrose

Page 3 of 6 ends

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
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
.

Gary A. Ringrose

Page 4 of 6 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? None Selected
Are you interested in being contacted by the Registrar of Voters to volunteer as a poll worker?
Yes No
2_-_Ringrose__Gary.pdf
Gary A. Ringrose Page 5 of 6

All boards and commissions

Submit Date: Apr 20, 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 2

Which Boards would you like to apply for?
Airport Commission: Appointed
Ms./Mr.

Mr.

Business Address
Business Phone
Length of residence in City of Riverside
Since 1996
Are you a registered voter of the City of Riverside?

Yes

No
Joe
Vazquez
Riverside
CA
Joe Vazquez

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:

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:

Joe Vazquez Page 2 of 5

COMMISSION ON AGING
AIRPORT COMMISSION *
BUDGET ENGAGEMENT COMMISSION *

COMMUNITY POLICE REVIEW COMMISSION
CULTURAL HERITAGE BOARD *

COMMISSION OF THE DEAF

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:

Joe Vazquez

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? None Selected
Are you interested in being contacted by the Registrar of Voters to volunteer as a poll worker?
Yes No
2_-_AIR_-_Vazquez__Joe_R..pdf
Joe Vazquez Page 4 of 5
9/1/09 CPRC
9/6/16 updated
_

Submit Date: Jan 05, 2019
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 2

Which Boards would you like to apply for?
Community Police Review Commission: Submitted
Ms./Mr.

Mr.

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

Yes

No
Derek
L.

Thesier
Riverside
CA
City of Banning
Detective
Derek L. Thesier

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:

To help create a balanced representation of City Interests.

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

I am a 17 year Veteran of Law Enforcement.

EDUCATIONAL BACKGROUND:

Some College, with additional Law Enforcement training and certification.

OCCUPATIONAL EXPERIENCE:
17 years of Law Enforcement experience with specialized training in the enforcement of City, State and Federal Laws. Specialized training in the feild of Firearms instruction and traing, the use of less Leathal weapon systems, training in the identification and recognition of drug use and abuse. Several specialized positions and training over my time as a Police Officer.

PROFESSIONAL OR TECHNICAL ORGANIZATION MEMBERSHIPS:

BPOA Vice President, Homicide Investigators Association Member.

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

None.

Derek L. Thesier Page 2 of 5

COMMISSION ON AGING
AIRPORT COMMISSION *
BUDGET ENGAGEMENT COMMISSION *

COMMUNITY POLICE REVIEW COMMISSION
CULTURAL HERITAGE BOARD *

COMMISSION OF THE DEAF

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:

Derek L. Thesier

Page 3 of 5 ends

Upload a Resume
Additional document(s)
Additional document(s)
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
Question applies to Community Police Review Commission
Do you have basic computer skills?
Yes No
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? Social Media
Are you interested in being contacted by the Registrar of Voters to volunteer as a poll worker?
Yes No
Derek L. Thesier Page 4 of 5

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