RDINO. CAT
San Bernardino
2013 APR 10 PM 3:27
BOARDS, COMMISSIONS, & CITIZEN ADVISORY Date Received, For COINDED NERD Official Use Only
COMMITTEES
BOARD(S), COMMISSION(S), AND/OR CITIZEN ADVISORY COMMITTEE(S) APPLYING FOR:
Charter Review Committee
3. 2. 4.
LAST NAME FIRST NAME M.I.
Johnson Rikke
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 Bemardino?
61 _Years
OYes 00:00
Months ONo 000•
Why you want to serve on a city board or commission:
To give back to the community in which 1 live
Board(s), Commission(s), & Citizen Advisory Committed(s) 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. Serving as a Council Member for 12 years in the City of San Bernardino.
2. Ability to assimilate and process information in a group setting in order to work toward a postive outcome.
3. Intergrity.
Experience or special knowledge pertaining to area(s) of interest ye or gover dit operate. Perious sui counseen gim feein and perspecive on how tha Educational background:
AA from San Bernardino Valley College.
Occupational experience
ormer City council Memb
Professional or technical organization memberships:
Board(s), Commission(s), & Citizen Advisory Committeds) App. Page 2 of 3 Updated: August 29, 2018 Ivic or community experience, memberships, or previous pubic service appomtments Tuman Relations Commission, previously served; Water Board; Electoral Redistricting Advisory Committe previously served; Akoma Unity Center, Board Member; Broome Family Foundation, Board Member; Ecclesi:
Christian Fellowship Community Development Corporation, Board Membe
OPTIONAL
How would you classify yourself? (Optional)
American Indian/Alaskan Native Affican American/Black • Asian •Hispanic/Latino •Native Hawaian/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 I will abide by all the codes, ordinances, and regulations of the City of San Bernardino and the State of slike Van Jehases 04/07/23
SIGNATURE DATE
Return to: The City of San Bernardino Council Office
Electronically: [email protected]
3y Mail: 290 North D Street, San Bernardino, CA 92401
In Person: 290 North D Street, 1 Floor - City Information 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(s), Commission(s), & Citizen Advisory Committee(s) App. Page 3 of 3 Updated: August 29, 2018