ARDINO, CAL
City of
San Bernardino
BOARDS, COMMISSIONS, & CITIZEN ADVISORY Date Received, For TENDED IN ERNE Official Use Only
COMMITTEES
BOARD(S), COMMISSION(S), AND/OR CITIZEN ADVISORY COMMITTEE(S) APPLYING FOR:
BOARDS 3. COMMITEES
COMMISSIONS
LAST NAME FIRST NAME M.I.
Wilson Lata M
HOME ADDRESS ZIP PHONE
EMPLOYER JOB TITLE EMAIL ADDRESS
Self Employed Entrepreneur
BUSINESS ADDRESS ZIP BUSINESS PHONE
DATE OF BIRTH
December 27, 1972
Length of residence in the City of Are you a registered voter of the City Which ward do you reside in? San Bernardino of San Bemardino?
Years • Yes 0 0
1 0 0•
_Months ONO
Why you want to serve on a city board or commission:
TO POSITIVELY IMPACT OUR COMMUNITY AND OUR CITY.
Board(s), Commission(s), & Citizen Advisory Committees) App. Page 1 of 3 Updated: August 29, 2018 What do you consider to be three (3) major assets that would quality you for selection to this board, commission, or citizen advisory committee:
1. LEADERSHIP SKILLS
2. PASSION FOR GROWTH OF COMMUNITY
3. EXPERIENCE WITH WORKING IN THE COMMUNITY
Experience or special knowledge pertaining to areas) of interest:
GREW UP AT PARK & REC CENTERS, ORGANIZED SPORT LEAGUES, AND COACHED BASKETBALL FOR 24 YEARS.
Educational background:
DRUG & ALCOHOL CERTIFICATE
AA DEGREE IN LIBERAL ARTS
AA DEGREE IN CRIMINAL JUSTICE
Occupational experience:
20 YEARS IN MUSIC INDUSTRY
1S YEARS IN FILM AND VIDEO PRODUCTION
10 YEARS IN ADVERTISING
Professional or technical organization memberships:
Board(s), Commission(s), & Citizen Advisory Committeds) App. Page 2 of 3 Updated: August 29, 2018 Civic or community experience, memberships, or previous public service appointments:
CONGRESSMAN JOE BACA (1999)
KOMA YOUTH CENTER (2015 TO 2023
UNETEETH AT CAL STATE UNIVERSITY (2022
CHAROS ACADEMY NE ARTS (2003 TO PRESENT)
OPTIONAL
How would you classify yourself? (Optional)
•American Indian/Alaskan Native • African American/Black • Asian • Hispanic/Latino Native Hawaiian/Pacific Islander O White •Two or more of the above categories
What is your gender? (Optional)
• Female •other/Prefer to self-describe
• Male
Are you a person with a disability? (Optional)
• Yes ONO
Applications are screened on the basis of information submitted and may be subject to a Livescan as part of the application process.
The information provided is factual to the best of my knowledge. I understand that I may be equired to complete a Statement of Economic Interests Form as required by law, and that I wi abide by all the codes, ordinances, and regulations of the City of San Bernardino and the State of California.
Honly 01/22/24
SIGNA TURE DATE
Return to: The City of San Bernardino Council Office
Electronically: [email protected]
By Mail: 290 North D Street, San Bernardino, CA 92401
In Person: 290 North D Street, 1st Floor - City Information Center, San Bernardino, CA 92401
*Duach a estims andor adilional infomation which you fel wil asst the Mayor and City Board(s), Commission(s), & Citizen Advisory Committeds) App. Page 3 of 3 Updated: August 29, 2018