City of RECEIVED
San Bernardino
JAN 15 2025
BOARDS, COMMISSIONS, & CHIZEN ADVISORY COUNCERIOD
FUNDED N 90 COMMITTEES
City of San Bernardino
BOARD(S), COMMISSION(S), AND/OR CITIZEN ADVISORY COMMITTEE(S) APPLYING FOR:
1. Planning Commission 3.
2. Public Safety and Human Relations Commis 4.
•
LAST NAME FIRST NAME M.I.
Armenta Andrena
HOME ADDRESS ZIP PHONE
(HOME)
(MOBILE)
EMPLOYER JOB TITLE EMAIL ADDRESS
BUSINESS ADDRESS ZIP BUSINESS PHONE
DATE OF BIRTH
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 Bernardino?
40 _Years Oxes 0 0 0 0
_Months ONo 000•
Why you want to serve on a city board or commission:
My family's roots are here. I was born and raised in this city and I am planning on staying here. I want to contribute o helping our city reach all of the potential that I see in it and serve my fellow San Bernardino citizens Board(s), Commission(s), & Citizen Advisory Committee(s) App. Page 1 of3 Updated: August 29, 2018 What do you consider to be three (3) major assets that would qualify you for selection to this board, commission, or citizen advisory committe:
1. Having lived here all my life, I am extremely familiar with the the neighborhoods, the streets, and the businessess.
2.I have a passion for community wellness. It is the main reason that I became a yoga teacher. The passion that I have for community wellness would be at the forefront of my service on a commission.
Experience or special knowledge pertaining to area(s) of interest:
aces across the country. So I am familiar with a lot of the processes and languag Educational background:
I graduated from Pacific High School and Sage College of Court Reporting.
Professional or technical organization memberships:
Yoga Alliance
Board(s), Commission(s), & Citizen Advisory Committee(s) App. Page 2 of 3 Updated: August 29, 2018 Civic or community experience, memberships, or previous public service appoitments:
OPTIONAL
How would you classify yourself? (Optional)
American Indian/Alaskan Native African American/Black Asian © Hispanic/Latino Native Hawaiian/Pacific Islander 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 required to complete a Statement of Economic Interests Form as required by law, and that 1 will abide by all the codes, ordinances, and regulations of the City of San Bernardino and the State of California.
Andentimenta 01/12/20
DATE
SIGNATURE
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, 1* Floor - City Information Center, San *Attach a resume and/or additional information which you feel will assist the Mayor and City Council in their selection.
Boards). Commission(s). & Citizen Advisory Committeds) App. Page 3 of 3 Updated: August 29, 2018