ATTACHMENT A
Application for appointment and background information for City of Stockton Boards, Commissions and Committees Submit Date: Mar 06, 2023
Profile
mail Address
Anuit Albahar
irs Name Las Name
S ree Address
Stockton
Cly Sae Posa( Code
Ethnicity
-
Gender
-
If selected "Other," please specify.
What district do you live in?*
� District 4
I declare under penalty of disqualification/termination that I have been a resident at the above address for years/months?
2years
Primary PhOne Al erna e Phone
The City of Stockton uses email as the preferred method of communication regarding your application. ls this acceptable to you?
r: Yes r l'h
mnlnvAr
Employer Address
Anuit Albahar
Are you currently serving oo a City of Stockton Board, Commission, or Committee? r- Yes r l'b
f yes, please list
Arts Commission
Which Boards would you like to apply for?
Arts Commission: Submitted
Question applies t, Arts Commission
NOTE: This Board requires membership with one of the following groups. If none, please remove board from your application. Outside of your profession, indicate what type of Arts you are active in? Select all that apply.*
Visual Arts, i nclu:ling (but not lim ited to) the Public or Environmental Arts, Graphic Arts, Design, Drawing, Painting, Printmaking, Sculpture, Ceramics, and Art History\, Question applies t, Arts Commission
Are you interested in or accomplished iin fund-raising? r- Yes r No
Question applies t> Port Commission
Do you reside within the Port District boundary or consistent with the City General Plan boundaries, plus a one-half mile strip on either side of the Stockton Ship Channel from the Port to Disappointment Slough?
r- Yes r No
Question applies t, Port Commission
If so, for how long?
2 years
Question applies t> multiple boards
NOTE: This Board requires membership with one of the following groups. f none, please remove board from your application. Are you knowledgeable, have experience in, or extensive background i1 any of the following areas? Select all that apply. * Active in community activities significant enough to confirm knowledge of issues and iniliduals wi1hi1 the community
Possess decision-makirg Abilities
Understanding of Ethnic/Gender Diversity
Understanding of the Stockton Public: Art Plan, processes and implications for the City of Stockton Willingness to tolerate/promote change
Anuit Albahar
ATTACHMENT A
I have been a resident of Stockton for at least 3 years. r- Yes r No
Interests & Experiences
Please tell us about yourself and why you want to serve.
Born and raised in stockton
Please state the reason you would like to oo a member of this board/commission.
A ready a member.
Have you served on an , advisory group before?
r- Yes r No
If yes, please explain.
SAC
Hem did you hear about the position?
Term expired. Need to re-apply.
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 timenecessary to fulfill your duties as a member? r-Yes r No
O:> you or immediate family members have any relationship (professional, financial, other) that may present a potential conflict of interest for this advisory group? r Yes r- No
Background Information
UpkladaRerure
Anuit Albahar
ATTACHMENT A
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? r Yes r, No
Voter Registration (Questions appear if required)
Submit Application
Enter Your Initials:
AA
Date Signed
2/3/2023
Anuit Albahar
ATTACHMENT A