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Att 2 - Application Form 2023 Raynato Castro

San Pablo City Council
May 15, 2023

Document
Att 2 - Application Form 2023 Raynato Castro
Meeting
May 15, 2023
Body
San Pablo City Council
Original file
137 KB
Text extracted from the city's file for reading and search. Open the original on sanpablo.legistar1.com. That file is the official record.

CITY OF SAN PABLO

VOLUNTEER APPLICATION
POSITION SOUGHT: CITIZENS OVERSIGHT COMMITTEE

ALL APPLICANTS MUST BE SAN PABLO RESIDENTS OR REPRESENTATIVES OF SAN PABLO BUSINESSES. “Please note that this form is a public record that may be subject to disclosure upon request.”

Please return applications:

Via email: [email protected]
City Clerk’s Office
1000 Gateway Avenue
San Pablo, CA 94806

Name: Raynato Castro Home Phone: (510) 260-4943

Home Address: 1480 Kildare Way, Pinole, CA 94564 Years resided at address: 9.5

Have you lived at any other address in San Pablo: x Yes No

If yes, give previous address: 374 Linda Drive, San Pablo, CA 94806

Employer: Raynato Castro, DDS Inc.

Employer Address: 2089 Vale Rd, Ste 30A, San Pablo, CA 94806 Employer Phone: (510)236-1662

Occupation: DENTIST / SOLE OWNER How Long: 6.5 years

Education (Highest Grade Completed): Doctor of Dental Surgery

Licenses or special certificates held: California Dental Board License

Name, location of Colleges/Universities Attended
Attended
Major Degree Last Year
Attended
UC Davis English, Biology B.A. & B.S. 2007
Contra Costa College N/A N/A 2008
University of the Pacific Dugoni School of Dentistry Dentistry DDS 2011

Have you ever been convicted of any crime or violation of any law or statute other than minor traffic violations?

Yes No X (If yes, please attach a separate sheet of explanation.)

Prior or Current Civic Experience (Include Membership in Professional, charitable or community organizations
Office Held
(if any)
Dates of
Membership
Rotary Club of San Pablo President (twice),
Secretary, Edtior
2011-
present
Contra Costa Dental Society Vice President /
President-Elect,
Secretary, West County
Rep
2011-
present
Contra Costa College Foundation Board Member 2023-
present
De Anza Health Academy N/A 2013-2017

I declare under penalty of perjury that all statements in this application and the attached responses are true and complete to the best of my knowledge and belief.

Date: __May 10, 2023____________ Raynato Castro

Signature of Applicant

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