The City of South San Francisco
Office of the City Clerk
8 400 Grand Avenue
South San Francisco, CA 94080
CALIFORNIA (650) 877-8518 (fax) (650) 829-6641
Application for Boards and Commissions
APPLYING FOR (more than one may be checked)
Bicycle and Conference Center Conference Center Conference Center Pedestrian Advisory Authority Business Authope Cavenity uthority Hote Committee (BPAC) Representative presentati
Cultural Arts Equity and Public Housing Authority
Commission Safety Commission Tenant Commission
Library Measure W Citizens' Parking Place Parks & Recreation Board Oversight Committee Commission Commission
Personnel SSF General Plan 2040
Planning Traffic Safety
Board Commission Community Advisory Commission
Committee
Youth
Commission
Are you interested in participating in the Citizen's Academy? Yes No destin
PERSONAL INFORMATION
Battaglia, Betty Ann
Name (last, first. middle)
South San Francisco, CA 94080 REGID GITY I GLERK
Address (number, street, and apartment number) City, State and Zip Code 2022 DE0 6A01:34:48 Telephone number Cell phone/alternative contact number E-mail address If you selected more than one Board/Commission/Committee of interest, please rank your preferences here, starting with your first choice.
N/A
How many years have you been a resident of South San Francisco? 64 Have you attended any meetings of the commission/board for which you are applying? Yes I NO L If yes, which one(s)? Parks and Recreation Commission, incumbent since 2012.
BPAC
Are you a resident of South San Francisco? Yes V No D
If no, are you employed in South San Francisco? Yes 7
Number of hours employed in South San Francisco: N/A
Housing Authority Tenant Commission
Are you a resident of the Housing Authority? Yes • No I Youth Commission - (Ages 14 to 22)
If not a resident of South San Francisco, are you a student of SSFUSD? Yes Current school:
Conference Center Authority Hotel Representative
Which hotel within the City of South San Francisco are you representing? N/A South San Francisco General Plan 2040 Community Advisory Committee What is your District of Residency? N/A
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? I like to be involved in city activities, staying current on what is going on in the City, and especially enjoy supporting senior programs.
What qualifies you for this appointment? Served as incumbent since 2012, supporting Parks and Recreation Programs, with a particular interest in senior activities.
What is your vision for growth in South San Francisco? The City continues to grow quickly, but and as a commissioner I enjoy the opportunity to provide input, help shape and prioritize policy and recreation and park programs and projects.
Are you currently receiving any form of compensation from the City for work performed? Yes M No L If yes, please explain: Stipend for commission meetings only.
Do you have any relatives serving on Council, Commissions, Boards, and Committees or otherwise employed by the City of South San Francisco? Yes No l If yes,_
Name Position Relationship
EDUCATION - Please include additional information on separate sheet.
College of San Mateo AA - Medical Secretary
Name and location of college/university/technical or trade school Degrees received 1700 W Hillsdale Blvd, San Mateo, CA 94402
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? SSF Women's Club, Improving Public Places, San Mateo County Assistance League, Friends of SSF Parks and Recreation, and City of South San Francisco Age-Friendly Task Force MISCELLANEOUS - Please include additional information on separate sheet or attach resume.
N/A
Military Service: Dates and branch
WORK EXPERIENCE - Please include additional information on separate sheet or attach resume. 2003-Present Mercy High School Advancement Assistant
Dates employed Employer Position
Supports development of donations/contributions, drafting thank you letters, postage, and administrative support.
Duties
1987-2002 SSFUSD Teachers Aide / Library Staffer
Dates employed Employer Position
Served as a teachers aide (Ponderosa Elementary School), and Library Aide, Computer Lab Aide, ESL staff (Parkway MS).
Duties
I certify that, to the best of my knowledge, all statements in this application are complete and true. I agree and understand that any mis- statement of material fact will cause me to forfeit all rights to appointment to a Commission, Board, or Committee with the City of South San Francisco.
12-6-2022
Sighature Date
The interest of the City is served best by actual and regular participation by Board and Commission members. Thus, upon the second 200222
encouraged to give advanced notice of their absence from meetings.
Applications are accepted on a continuous basis and will remain valid 1 year from the date of submission. If you are selected to serve on a Board or Commission, you may be required to file an Annual Statement of Economic Interest (FPPC Form 700) and bi-annual Ethics Training (AB1234).
PRINT AND MAIL TO:
CITY OF SOUTH SAN FRANCISCO
Office of the City Clerk
400 Grand Avenue, South San Francisco, CA 94080
For more information, call (650) 877-8518
For official use only Accepted Not Accepted Date
12622