Submit Date: Jan 18, 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 4
I declare under penalty of disqualification/termination that I have been a resident at the above address for years/months?
9 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
Phillip R Herrera
Stockton CA
Phillip R Herrera
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?
Community Development 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
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.
I was born and raised in Stockton and want to be part of making our great city better.
Please state the reason you would like to be a member of this board/commission.
As a former tax auditor, current business owner, and consultant to the Governor's Office of Business and Economic Development I believe my experience would be an excellent fit for the Measure W commitee Have you served on an advisory group before?
Yes No
If yes, please explain.
Measure W, California Life Sciences Association; Miracle Mile Improvement District Board Member Phillip R Herrera
Attachment A
Upload a Resume
How did you hear about the position?
fellow stocktonian
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
Enter Your Initials:
PRH
Date Signed
01/18/2023
Phillip R Herrera
Attachment A