RECEIVED
City of
San Bernardino
AUG 1 3 2026
BOARDS, COMMISSIONS, & CITIZEN ADVISOBIYY COUNGISRETICE FOUNDED IN 191D COMMITTEES City of San Bernardino
BOARDS), COMMISSION(S), AND/OR CITIZEN ADVISORY COMMITTEE(S) APPLYING FOR:
1. Compansation Commilte 3.
2. LAST NAME FIRST NAME M.I.
Teran Carlos S.
HOME ADDRESS ZIP PHONE
(HOME)
(MOBILE)
EMPLOYER JOB TITLE EMAIL ADDRESS
Drives Oporator
BUSINESS ADDRESS 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?
SO Years 1 3 50'
S_ Months ONO 6
Why you want to serve on a city board or commission:
Help shupe local plotice
Goterment rohlats residents nea
Board(s), Commission(s), & Citizen Advisory Committcos) App. Page 1 of 3 Updated: August 29, 2018 What do you consider to be three (3) maior assets that would quatly you tor selection to this board, commission or citizen advisory committee:
I.
Community connection
2. Rolevant expertise.
3. Collaborative communication.
Experience or special knowiedge pertaining to area(s) of interest:
Neighborhood Improvement.
Life Experience in Commonity
Educational background:
Kigh School diploma.
Occupational experience:
None.
Professional or techrical organization memberships:
Nore.
Boarks, Commisions) & Chize Adiso Conmareets) App. Page 2 of 3 Undied: Auer~ 29.20J8 Civic or community experience, memberships, or previous public service appointments:
The Mount Vernon Neighborhoad Ass predious president
OPTIONAL
How would you cassity yourself? (Optional)
American Indian/Alaskan Native African American Black Astan 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 No
Applications are screened on the basis of information submitted and may be subject to a Livescan as part of the application process.
Ine normation provided is tacnai tote best of my knowiedge. i understand thar 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 Bernardmo and the State of California
8-13-2024
SIONE DATE
Retur to: The City of San Bemardino Council Office
Fectronicaiiy: [email protected]
By 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
Undated: Augure 29.2018