City of Application for Board of Library Trustees, Civil Service Commission, Parks & Recreation Commission and Planning Commission Santa Clara
Te Catarat hears Ponies
Position
Board / Commission /Committee Applying for:*
Avil Senice Commission
Personal Information
Name*
Ron Billingsley
Are you a registered voter and resident the City of Santa Clara?* (Must be a registened voter at time of upelication)
6 Yes C No
Address*
Street Acktross
Address Line 2
aly Stra/Provincs/ Ragon 2023 APR 18 AM 9: 06 CITY OF SANTA CLARA Santa Clara CA
Posal / Ap Code County
95054 USA
Emall*
ward
Primary Phone Numbar*
Secondary Phone Number
Provide two forms of Proof of Residency in the City of Santa Clara (Must be a resident of the city of santa clara at time of application) Attachment 1*
ins.pdf 6724KB
Attachment 2*
reg.pd' 851.3KB
Present Employer*
Retired City of Santa Clara employee
Job Tille*
Solid Waste Forman/Supenisor
Work Experience
Have you attended a meeting of this Board/Commission?*
r° Yes • No
Previous Government Bodies/ Elective Offices Applicant has served Goverment Bodies/ Elective Offices Position/ Office Held: Date Rioiu5,7 and 8 city of santa clara unit rep 4/1/2010
Civic or Charitable Organizations to which Applicant has belonged:
Civic or Charitable Organizations Position(s) Held: Date NA
Special Interests, Hobbies or Talents
Garding, fishing, motorcycle riding, traveling camping, the cutdoors College, Professional, Vocational Schools Attend
High School, College, Professional, Vocational School Major Subject Date Lynbrook High School, Mission Collage woodworking and leadership Special awards or recognition received:
City of Santa Clara Proclamation, and certificate of reconation for 31 years of senice, Hazardous anamess trairing 1991, certificate of completion of of site construction set up 5 acres are less. Many supenisor and conflict resclution cousres thru Mission Collage
Please state reasons why you want to become a member of this Board/Commission/Committee, Including what specific objectives you would be working toward as a member of this advisory board:
Toa help with an unblased independent assessment of new rules and negulations, and help resche employe conflict, and revence, with positive rescution for all parties, and appoint new employment.
Any other information which you feel would be useful to the City Council in raviewing your application:
I am a retired City of Santa Clara emplayee of 37 years of the public works depertment, most of which was in a lead compecity of some fom are another with training in resolution.
Are you associated with any Organization/ Employment that might be demed a conflict of interest in porforming your duties if appointad to this position?* C Yes G No
City policy directs all advisory body members not to vole on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such a conflict arises?* & Yes C No
Signature
Ren Billingsley
Date
4/18/2023
City of Application
Santa Clara
The Center of What's Possible
Position
Board / Commission / Committee Applying for:*
Civil Service Commission
Personal Information
Name* RECEIVED
Wesley Dudzinski
Are you a registered voter and resident the City of Santa Clara? * JUN: 2 6 2023 (Must be a registered voter at time of application)
r Yes C. No City Clerk's Office
Address* City of Santa Clara
Streat Ackiress
Address Line 2
Chly State / Province / Resjon
Santa Clara CA
Postal / Zip Coxie Country
95051-5011 USA
Email*
Primary Phone Number*
Secondary Phone Number
Provide two forms of Proof of Residency in the City of Santa Clara (Must be a resident of the city of santa clara at time of application) Attachment 1*
WesleyDudzinskiCDL.pdf 345.72KB
Attachment 2*
WesleyDudzinskiUtilityBill.pdf 481.03KB
Present Employer*
Retired
Job Title*
CONSULTANT INFORMATION SYSTEMS ADMINISTRATOR
Work Experience
Have you attended a meeting of this Board/Commission? * r. Yes C No
Previous Government Bodies/ Elective Offices Applicant has served Government Bodies/ Elective Offices Position/ Office Held: Date Row
1 Civic or Charitable Organizations to which Applicant has belonged:
Civic or Charitable Organizations Position(s) Held: Date Roodsborough Homes Association Board Member, Treasurer, Vice President, President 12/1/2014 Special Interests, Hobbies or Talents
College, Professional, Vocational Schools Attend
High School, College, Professional, Vocational School Major Subject Date University of Warsaw, Poland Post Graduate Degree in Journalism 9/19/1983 Special awards or recognition received:
Please state reasons why you want to become a member of this Board/Commission/Committee, including what specific objectives you would be working toward as a member of this advisory board:
I have some free time which I can dedicate to the betterment of our city.
Any other information which you feel would be useful to the City Council in reviewing your application:
Are you associated with any Organization/ Employment that might be deemed a conflict of interest in performing your duties if appointed to this position?* r Yes ~ No
City policy directs all advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such a conflict arises? *
• Yes C No
Signature
Wesley Dudzinski
Date
6/25/2023
City of Application
Santa Clara
The Center of What's Possiblo
Position
Board / Commission / Committee Applying for: *
Civil Service Commission
Personal Information
RECEIVED
Name*
Arti Purohit
JUN 0 2 2823
Are you a registered voter and resident the City of Santa Clara?* (Must be a registered voter at lime of application) City Clerk's Office r Yes C No City of Santa Clara
Address*
Street Address
Ackiress Line 2
Cty State / Province/Region
Santa Clara CA
Postal / Zip Code Country
95051 USA
Email*
Primary Phone Number*
Secondary Phone Number
Provide two forms of Proof of Residency in the City of Santa Clara (Must be a resident of the city of santa clara at time of application) Attachment 1*
document1.pdf 351.95KB
Attachment 2*
document.pdf 99.99K8
Present Employer*
Okta
Job Title*
Program Manager
Work Experience
Have you attended a meeting of this Board/Commission?*
C Yes C No
Previous Government Bodies/ Elective Offices Applicant has served Government Bodies/ Elective Offices Position/ Office Held: Date Row
Civic or Charitable Organizations to which Applicant has belonged:
Position(s) Held: Date
Civic or Charitable Organizations
Row
1 Special Interests, Hobbies or Talents
College, Professional, Vocational Schools Attend
High School, College, Professional, Vocational School Major Subject Date Symbiosis Institute Pune, India MBA in Human Resources & Operations Special awards or recognition received:
mployee of the month - Given two times in my current compar pot awards - Many times across the employer
Please ate radis ar want to become a member of this BoardCommision Commite, Including what specie objectives you would be working toward as a erving and helping people has always been a great motivation for me. When my contribution or action makes a difference in betterment of people's life, I feel bless ad worth of my time. I look forward to help in constructive ways and improve quality of civil society as much possib Any other information which you feel would be useful to the City Council in reviewing your application:
Are you associated with any Organization/ Employment that might be deemed a conflict of interest in performing your duties if appointed to this position?* r Yes C No
City policy directs all advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such a conflict arises?*
r Yes C No
Signature
Sign
Date
6/2/2023
City of Application
Santa Clara
The Center of What's Possible
Position
Board / Commission / Committee Applying for:*
Civil Service Commission
Personal Information
Name * RECEIVED
Myreel Seltzer
Are you a registered voter and resident the City of Santa Clara?* JUN 0 2 2023 (Must be a registered voter at time of application) City Clerk's Office 6 Yes C No
City of Santa Clara
Address *
Street Address
Ackless Line 2
Cly State / Province / Region
Santa Clara CA
Postal / Zip Code Country
95051 USA
Email*
Primary Phone Number*
Secondary Phone Number
Provide two forms of Proof of Residency in the City of Santa Clara (Must be a resident of the city of santa clara at time of application) Attachment 1*
Electric Bill May 2023.pdf 74.99KB
Attachment 2*
Myreel - USBank Proof of Address.pdf 78.49KB
Present Employer*
Poppy Bank
job Title*
AVP / Branch Manager
Work Experience
Have you attended a meeting of this Board/Commission?*
C. Yes • No
Previous Government Bodies/ Elective Offices Applicant has served Government Bodies/ Elective Offices Position/ Office Held: Date Row
Civic or Charitable Organizations to which Applicant has belonged:
Civic or Charitable Organizations Position(s) Held: Date Row
1 Special Interests, Hobbies or Talents
College, Professional, Vocational Schools Attend
High School, College, Professional, Vocational School Major Subject Date University of Santo Thomas Business Administration 10/31/2006 Special awards or recognition received:
Please state reasons why you want to become a member of this Board/Commission/Committee, including what specific objectives you would be working toward as a member of this advisory board:
would like to establish myself in the community wherein I can contribute to the progression of our locality. I am currently working in a community bank where we seek et involve and support locals reach their goals and improve their way of living. As well as to offer financial and business solutions in the community where it is neede One of my focus is to ensure appeals are heard and to render fair and impartial resolutions.
Any other information which you feel would be useful to the City Council in reviewing your application:
Please feel free to reach out and discuss my qualifications.
I can be reach thru my mobile, and/or my email,
Thank you and have a wonderful day!
M. Seltzer
Are you associated with any Organization/ Employment that might be deemed a conflict of interest in performing your duties if appointed to this position?* c Yes C No
City policy directs all advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such a conflict arises?*
r. Yes C No
Signature
Myree Setzer
Date
6/2/2023
City of Application
Santa Clara
The Center of What's Possible
Position
Board / Commission / Committee Applying for: *
Civil Service Commission
Personal Information
Name* •SAUTA CLARA
Gurdit Singh Sodi
Are you a registered voter and resident the City of Santa Clara?* 2023 JUN 28 PM 3: 56 (Must be a registered voter at time of application)
G Yes C No
Address
Strost Address
Address Line 2
Oly State / Province / Ragon
Santa Clara CA
Postal / Zip Code Country
95051 USA
Email*
Primary Phone Number*
Secondary Phone Number
Provide two forms of Proof of Residency in the City of Santa Clara (Must be a resident of the city of santa clara at time of application) Attachment 1*
State ID.pdf 117.57KB
Attachment 2*
Gmail - California Voter Registration Notification.pdf 77.48KB Present Employer*
Not Employed.
Job Title *
Not Applicable.
Work Experience
Have you attended a meeting of this Board/Commission?*
• Yes C No
Previous Government Bodies/ Elective Offices Applicant has served Government Bodies/ Elective Offices Position/ Office Held: Date Rowed in the Department of Health and Family Welfare, and Medical Medical Officer, Registrar, Surgical Specialist, Senior Medical Officer, 6/27/2023 Education in the State of Punjab, India, my Native Country. (State District Family Welfare Officer, Deputy Director / Civil Surgeon in the tovt. Service). State of Punjab. (As Punjab Civil Medical Service.) Civic or Charitable Organizations to which Applicant has belonged:
Civic or Charitable Organizations Position(s) Held: Date Roopciation of Surgeons of India. (Life Member). Life Member. 6/28/2023 Indian Medical Association. (Life Member).
Indian Society For Trauma and Acute Care. (Life Member).
Special Interests, Hobbies or Talents
Medical Service as a devoted Health Care Worker for the Public, almost always attended to my duties, whenever called upon in the need of hour.
College, Professional, Vocational Schools Attend
High School, College, Professional, Vocational School Major Subject Date High School, Graduate College, Govt. Medical College, State and Primary Care, Secondary involving Preventive, Prophylactic and 6/28/2023 National Health and Family Welfare Training Curative treatments, alongwith Supervisory, Managerial and Administrative dulies.
Special awards or recognition received:
Continued to serve the People / Public of the State for about three and half decades and got recognition in the form Promotions and Placements for the Higher Positions in the State of Punjab.
Please state reasons why you want to become a member of this Board/Commission/Committee, including what specific objectives you would be working toward as a member of this advisory board:
After immegrating to this Country with Family, tried to get knowledge and awareness about the Health Care Services of this country. Joined a local College, (San Jose Cit College). Completed a few Semesters, but could not complete due to some health issues and COVID-19. Now not having major health issues, but age related problem:
Got information about these County Jobs, applying for, if l am of any service to the People / Public of the State.
Any other information which you feel would be useful to the City Council in reviewing your application:
Inspite of age related some health issues, as myself a Qualified Medical Professional, though in my native country, had in mind to serve the Public, especialy after Naturalization / getting Citizenship of this Great Country, Are you associated with any Organization/ Employment that might be deemed a conflict of interest in performing your duties if appointed to this position?* r Yes = No
City policy directs all advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such a conflict arises?*
6 Yes C. No
Signature
yuedit singh sodi
Date
6/28/2023