Submit Date: Jan 13, 2023
Email Address
First Name Middle Initial Last Name
Street Address
City State Postal Code
Primary Phone Alternate Phone
Employer Job Title Occupation
Application for appointment and background information for City of Stockton Boards, Commissions, and Committees
Profile
Ethnicity
Gender
What district do you live in? *
District 3
I declare under penalty of disqualification/termination that I have been a resident at the above address for years/months?
The City of Stockton uses email as the preferred method of communication regarding your application. Is this acceptable to you?
Yes No
Employer Address
Karol J Ford
Stockton CA
Karol J Ford
Attachment A
Are you currently serving on a City of Stockton Board, Commission, or Committee? Yes No
Which Boards would you like to apply for?
San Joaquin County Commission on Aging: Submitted
Question applies to multiple boards
NOTE: This Board requires membership with one of the following groups. If none, please remove board from your application. Are you knowledgeable, have experience in, or extensive background in any of the following areas? Select all that apply. * Active in community activities significant enough to confirm knowledge of issues and individuals within the community
I have been a resident of Stockton for at least 3 years.
Yes No
Interests & Experiences
Please tell us about yourself and why you want to serve.
There are several reasons why I have chosen to apply to serve on the Commission of Aging. First, the aging population have made significant contributions to our community throughout their lives and deserve to be treated with dignity and respect. Additionally, the increase in aging populations in the home requires an increased level of support and resources to enable residents to live independently and with dignity in the community. Last but not least, aging is an inevitable process, and eventually, we will all become part of the aging population. Therefore, helping the aging population in our community is not just the right thing to do, it is also in our own self-interest.
Karol J Ford
Attachment A
Upload a Resume
Please state the reason you would like to be a member of this board/commission.
The aging population is one of my primary areas of interest. There are several economic, social, and political concerns that arise as the median age of a population increases, including an increase in healthcare costs, changes in the workforce, and shifting power dynamics. With over 25 years of experience as a Nursing Home Administrator in Stockton and throughout Northern California, I have seen the unique challenges the aging population face which makes it difficult for them to maintain their independence and dignity. COVID19 exposed the high percentage of the aging population that is retired and does not have a significant source of income for economic stability. Moreover, the COVID 19 pandemic identified many who are socially isolated or living in poverty, which negatively affect their overall well-being.
Have you served on an advisory group before?
Yes No
How did you hear about the position?
I discovered the San Joaquin Commission on Aging while seeking for ways to serve the aging population in my community. After viewing the website and meeting minutes, I concluded that this commission was a suitable match. In addition, as a consultant, I now have greater autonomy over my time to serve on committees and advisory boards.
City Council Policy 100-2 states that Commissioners are required to attend meetings on a regular basis. If appointed, will you be able to attend meetings regularly and devote the time necessary to fulfill your duties as a member?
Yes No
Do you or immediate family members have any relationship (professional, financial, other) that may present a potential conflict of interest for this advisory group? Yes No
Background Information
Based on your best judgment, does this Commission make decisions that may affect any sources of income, interests in real property, or investments of you or your spouse? Yes No
Voter Registration (Questions appear if required)
Karol J Ford
Attachment A
Submit Application
Please identify any specialized accommodations needed for equal participation:
N/A
Enter Your Initials:
KPF
Date Signed
01/13/2023
Karol J Ford
Attachment A