Conference Center Authority Hotel Representative
Which hotel within the City of South San Francisco are you representing? __________________________________________ South San Francisco General Plan 2040 Community Advisory Committee What is your District of Residency? ____
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Why do you want to be a member of a Board/Commission/Committee? What do you feel you could contribute? What qualifies you for this appointment?
What is your vision for growth in South San Francisco? ___________________________________________________________________ ________________________________________________________________________________________________________________ Are you currently receiving any form of compensation from the City for work performed? Yes _ _ No _ _ If yes, please explain:
Do you have any relatives serving on Council, Commissions, Boards, and Committees or otherwise employed by the City of South San Francisco? Yes No If yes,
Name Position Relationship
EDUCATION - Please include additional information on separate sheet. ________________________________________________________________________________________________________________ Name and location of college/university/technical or trade school Degrees received ________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________ Name and location of college/university/technical or trade school Degrees received ________________________________________________________________________________________________________________ What community activities are you presently involved in, or have been in the past? _______________________________________________________________________________________________________________ _______________________________________________________________________________________________________________ MISCELLANEOUS - Please include additional information on separate sheet or attach resume.
Military Service: Dates and branch
WORK EXPERIENCE - Please include additional information on separate sheet or attach resume. ________________________________________________________________________________________________________________ Dates employed Employer Position
________________________________________________________________________________________________________________ Duties
________________________________________________________________________________________________________________ Dates employed Employer Position
________________________________________________________________________________________________________________ Duties
4 I want to be a member of the Youth Commission because I enjoy learning about the city’s plans, events, As I am presently on the commission, having the opportunity to be on the My vision for growth in South San Francisco is giving the youth I recieve a stipend of a $100 for each Youth Commission meeting I attend. I am presently involved in the SSF Youth Commission and have voulnteered in past events like tree plantings and last year’s field day. June 2021 - August 2021 SSF Parks Dept. YSIP City Intern Made copies, filed papers, and generated documents in Microsoft Word, Microsoft Excel, and Google She ✔
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