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? ____
Click here to locate your District.
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
1 I would contribute my good ideas that would benefit and unite our community as well as make our commu I am very interesting in what is going on in the community and since I am I hope to see South San Francisco as a safer place and less cri I would like to see more involvement have more activities and events that everyone can attend and have a I volunteered at city event and beach clean ups. ✔ ✔