RECEIVED
City of
San Bernardino JAN 2 7 2025
BOARDS, COMMISSIONS, & CITIZEN ADVIsoRity of San Beardingto CITY-COUNCIL OFFICE SOUNDED IN 1910 COMMITTEES
BOARD(S), COMMISSION(S), AND/OR CITIZEN ADVISORY COMMITTEE(S) APPLYING FOR:
Planning Commission
General Plan Advisory Committee
LAST NAME FIRST NAME M.I.
Albert James R
HOME ADDRESS ZIP PHONE
(HOME)
EMPLOYER JOB TITLE EMAIL ADDRESS
County of San Bernardino Office Specialist [email protected]
BUSINESS ADDRESS ZIP BUSINESS PHONE
DATE OF BIRTH
ength of residence in the City ol Are you a registered voter of the City Which ward do you reside in? a randin fSan Bemardino
Years O Yes 0 0 0 ar
5 Months
ONO 00-0
Why you want to serve on a city board or commission:
I want to be a positive influence on shaping our city's future and reaching community's fullest potential.
Boards), Conmissions), & Citizen Advisory Committeds) App. Page 1 of3 Updated: August 29, 2018 What de son conaletobedee (3) maor asses that wouk quality you for selecton to the tiant comeston of caven adssor comnatee:
I Past espersence and knowledge suth serving on a city commission Electoral Redistricting Advisory (ammissent
ламін натальк.
2 1 mentive knowledge of hving and working in the city of San Bernardino
3. Experience with and knowledge of local community based organizations to assist with community outreach and participation
Experience or special knowledre pertaining to areas of interest:
Educational background:
I graduated Aquinas High School in 2009 and earned my Bachelor's Degree from CSU Monterey Bay in 2013.
I have worked for the county of San Bernardino for over 4 years within our elections division and currently at the Public Defender's Office as an Office Specialist. As stated above, I have conducted surveys for the U.S. Census Bureau related to the state of housing in our region. I am currently exploring my options in pursuine a higher Professional or technical organization memberships:
Teamsters Local 1932 union member
Upolared: August 29, 2018
Civic or community experience, memberships, or previous public service appointments:
Sun or Air Quality angemen Disti, 30 undr 30 are cade lean Concimber of her org the City of San Bernardino Electoral Redistricting Advisory Commission
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 Mother/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 California.
01/27/285
SIGNATURE 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, 1s' Floor - City Information Center, San Bernardino, CA 92401
*Attach a resume andor additional information which you feel will assist the Mayor and City Council in their selection.
Boards, Commissions), & Citiza Advisory Cormit eds) App. Page 3 0г3 Updated: August 29, 2018