APPLYING FOR (more than one may be checked)
Bicycle and
Pedestrian Advisory
Committee (BPAC)
Conference Center
Authority Business
Representative
Conference Center
Authority Community
Representative
Conference Center
Authority Hotel
Representative
Cultural Arts
&RPPLVVLRQ
Equity and Public
Safety Commission
Housing
Authority
Housing Authority
Tenant Commission
Library
%RDUG
Measure W Citizens’
Oversight Committee
Parking Place
Commission
Parks & Recreation
Commission
Personnel
%RDUG
Planning
&RPPLVVLRQ
SSF General Plan 2040
Community Advisory
Committee
Traffic Safety
Commission
Youth
&RPPLVVLRQ
Are you interested in participating in the Citizen’s Academy? Yes 1R
PERSONAL INFORMATION
Name (last, first, middle)
Address (number, street, and apartment number) City, State and Zip Code 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. _______________________________________________________________________________________________________________ How many years have you been a resident of South San Francisco? ____ Have you attended any meetings of the commission/board for which you are applying? Yes ____ No ____ If yes, which one(s)?
BPAC
Are you a resident of South San Francisco? Yes ____ No ____ If no, are you employed in South San Francisco? Yes ____ No ____ Number of hours employed in South San Francisco: ____
Housing Authority Tenant Commission
Are you a resident of the Housing Authority? Yes ____ No ____ Youth Commission – (Ages 14 to 22)
If not a resident of South San Francisco, are you a student of SSFUSD? Yes ____ No ____ Current school: _______________________________________ The City of South San Francisco
Office of the City Clerk
400 Grand Avenue
South San Francisco, CA 94080
(650) 877-8518 (fax) (650) 829-6641
Application for Boards and Commissions
South San Francisco, CA 94080
21+
Alonzo, Cherie R.
✔
✔
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
I want to learn what SSF
Plans to do moving forward personally as a resident and professionally for my clients as a Realtor.
I am an active member in the community with the schools and families.
My vision for growth in SSF is to continue to maintain
a strong community where neighbors and businesses know and support each other as our city grows.
Academy of Art College / SF no degree
Skyline College / San Bruno no degree
California Association of Realtors - continuing education Real Estate Broker SSF USD Vision Working Group, El Camino HS PTA ( Historian) & School Site Committee Formerly: Alta Loma MS PTA President & VP, Buri Buri School Site Comm., GS Troop Leader (10+), Hula Teacher (24+) 4/2013-Present Intero, Berkshire, Keller Williams & Better Homes & Garden Realtor Help people buy and sell real estate.
9/2009 - 4/2013 Distressed Home Solutions Short Sale Negotiator Mainly worked with other realtors to help their clients get short sale approval and close their real estate transaction. ✔
✔
I certify that, to the best of my knowledge, all statements in this application are complete and true. I agree and understand that any misstatement 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.
Signature Date
The interest of the City is served best by actual and regular participation by Board and Commission members. Thus, upon the second absence from a regular meeting within any rolling twelve-month period, a member shall receive a written communication from the Mayor requesting that the member respond to the Mayor with an explanation for said absences within one week of the member’s receipt of the written communication. The Mayor shall report to the City Council the reasons provided for the member’s absences. If the City Council determines that the absences occurred for legitimate reasons, the City Council may excuse both or one of the absences. Members are also 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 Initials Date 2/02/2023