The City of South San Francisco
Office of the City Clerk
400 Grand Avenue
South San Francisco, CA 94080
(650) 877-8518
2 SUPPLEMENTAL QUESTIONNAIRE
Why are you interested in serving as a Boards and Commissions member? What do you feel you could contribute?
What qualifies you for this appointment?
What is your vision for growth in South San Francisco?
Serving on the Citizens' Oversight Committee will help me stay active in my community. I feel I can contribute some valuable assets such as: attention to detail, critical thinking skills, and problem solving.
My 15 years experience in construction and building management helps qualify me for this appointment. A background in budgeting projects and seeing them to completion will help as well.
I envision a movie theatre on the east side of 101. A food truck destination at the Oyster Point Harbor. A downtown Farmer's Market.
The City of South San Francisco
Office of the City Clerk
400 Grand Avenue
South San Francisco, CA 94080
(650) 877-8518
4 EDUCATION
School: City:
From: To: Degree:
School: City:
From: To: Degree:
DISCLAIMER AND SIGNATURE
Signature: Date:
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.
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).
OFFICIAL USE ONLY
Submission Date: Received By:
San Francisco State University San Francisco
2001 2003 Bachelor of Arts Radio & TV
San Mateo Joint Training Center San Carlos
2011 2016 Cerificate of Apprenticeship Completion
1/5/2025
1/5/2025 JM