HERNARDINO RECEIVED
City of
OF San Bernardino
JUL 282026
CITY
BOARDS, COMMISSIONs, & CTIZEN ADVISORTY COUNCIL OFFICE
FINDED IN RID COMMITTEES City of San Defial Ur Only
BOARD(S), COMMISSION(S), AND/OR CITIZEN ADVISORY COMMITTEE(S) APPLYING FOR:
PUBIe SAFETY COmMUSSION
2. LAST NAME FIRST NAME M.I.
ROBERTSON DEVONA L
HOME ADDRESS ZIP PHONE
(HOME)
, (MOBILE)
EMPLOYER JOB TITLE EMAIL ADDRESS
PARENT ORGANIZER
BUSINESS ADDRESS ZIP BUSINESS PHONE
N/A
DATE OF BIRTH
1-13.82
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?
/
41 Years EYes O' 3 5 7
Months •NO 4 6
Why you want to serve on a city board or commission:
I HAVE BEEN HONOREO TO SERVE IN MANU ROLES. BUT
NEVER AT THE CITY LEVEL. AS A LIFE LONG RESIDENT
ANDVERY ENGAGED. WHAT AGREAT WAY TO BE CIVILL
ENGAGED IN A DIFFERENT NATHEN I HAVE BEEN BErRE.
Board(s), Commission(s), & Citizen Advisory Committee(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 PROUD LiFe LONG RESIDeNt of Tite lery of Sant
BERNARDINO.
CONCERN ABOUT LUPRENT AND FUTURE STATE Of THE CRY.
Experience or special knowledge pertaining to area(s) of interest:
CommuNmy ENGREEMENTT
PARENT ENGAGEMETT
BIRTH WORKER
Educational background:
¡ASSOUATE'S DEGREE IN LAURIARTS
Occupational experience:
PROGRAM ASSIT.
HEALTH SERViCES ASSIT.
PARENT ORGANIZER
Professional or technical organization memberships:
N/A
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 appointments:
OPTIONAL
How would you classify yourself? (Optional)
•American Indian/Alaskan Native Afican America/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 I will abide by all the codes, ordinances, and regulations of the City of San Bernardino and the State of California.
APoberta 7/7/2024
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, 1st 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