DING RECEIVED
San Bernardino JAN 22 2025
BOARDS, COMMISSIONS, & CHIZEN ADVISE LOSING O
CONDEMN AND COMMITTEES
BOARD(S), COMMISSIONS), AND/OR CITIZEN ADVISORY COMMITTEE(S) APPLYING FOR:
1. Planning Commision 3.
2. Downtown specific planning commision 4.
LAST NAME FIRST NAME M.I.
Pratt Benjamin D
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 Bemardino of San Bernardino?
48 _Years 0' 00•0
Ores
3 _Months
ONo 000
Why you want to serve on a city board or commission:
Board(s), Commission(s), & Chizen Advisory Committed(8) App. Page 1 of 3 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 committee:
1. Years of working in a team environment
2. Leadership skills and management experience
3. Ability to communicate respectfully
Educational background:
Higheing Dipation every 3 year in the Electrical industraduation from 5 year 1BEW apprenticeship with Professional or technical organization memberships:
(servive bara. land empire electrical raining center,Inland Empire Building trades and Central Labor Couneil Board(s), Commission(s), & Citizen Advisory Committed(s) App. Page 2 of 3 Updated: August 29, 2018 Civic or community experience, memberships, or previous public service appointments:
San Bernardino General Plan Advisory Committe.
OPTIONAL
How would you classify yourself? (Optional)
American Indian/Alaskan Native African American/Black Asian • Hispanic/Latino •Native Hawaian/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)
0 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 01/10/20
DATE
Return to: The City of San Bemardino Council Office
Electronically: [email protected]
In Person: 290 Xor Stres, 1 Boor-Caty Cormation Center, San Bernardino, CA 92401
*Attach a resume and/or additional information which you feel will assist the Mayor and City Council in their selection.
Board(9), Commissions), & Citizen Advisory Committeds) App. Page 3 oF 3 Updated: August 29,2018