Submit Date: Feb 22, 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 1
I declare under penalty of disqualification/termination that I have been a resident at the above address for years/months?
10 years
The City of Stockton uses email as the preferred method of communication regarding your application. Is this acceptable to you?
Yes No
Employer Address
Mary Edith Holloway
Stockton CA
Mary Edith Holloway
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?
Measure W Oversight Committee: 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
Understanding of Ethnic/Gender Diversity
Willingness to tolerate/promote change
I have been a resident of Stockton for at least 3 years.
Yes No
Question applies to Strong Communities Advisory Committee,Measure W Oversight Committee Do you reside within Stockton’s geographic boundary?
Yes No
Question applies to Strong Communities Advisory Committee,Measure W Oversight Committee Are you an employee of any vendor, contractor or consultant doing business with the City of Stockton?
Yes No
Interests & Experiences
Please tell us about yourself and why you want to serve.
I am a life long resident of Stockton California, I am currently an Administrator for Health Information Management for San Joaquin General Hospital. My passion is justice and equitable solutions for all humans. I believe that to make a difference, you have to be a part of the solution. Investing time into learning about the issues and applying practicals knowledge to create workable solutions. As a tax payer, I support putting dollars where it makes sense. I have worked as a Regional Finance Director for Kaiser Permanente, and I have also been an Executive Advisor to Senior Executives as well as Boards.
Mary Edith Holloway
Attachment A
Upload a Resume
Please state the reason you would like to be a member of this board/commission.
My background in finance and healthcare and public service give me a diverse background to help address issues.
Have you served on an advisory group before?
Yes No
If yes, please explain.
I am currently working on a Inclusion Diversity and Equity Advisory Committee for San Joaquin General Hospital. We are working to create diversity and inclusivity in health care.
How did you hear about the position?
City Website
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)
Submit Application
Mary Edith Holloway
Attachment A
Enter Your Initials:
MEH
Date Signed
2/22/23
Mary Edith Holloway
Attachment A