Submit Date: Mar 03, 2021
Email Address
First Name Last Name
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 6
I declare under penalty of disqualification/termination that I have been a resident at the above address for years/months?
7 The City of Stockton uses email as the preferred method of communication regarding your application. Is this acceptable to you?
Yes No
Are you currently serving on a City of Stockton Board, Commission, or Committee?
Yes No
Geneva Moorad
Geneva Moorad
Attachment A
Which Boards would you like to apply for?
Community Development Committee: Archived
Measure W Oversight Committee: Not Submitted
Strong Communities Advisory Committee: Not 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
Question applies to Measure W Oversight Committee,Strong Communities Advisory Committee Do you reside within Stockton’s geographic boundary?
Yes No
Question applies to Measure W Oversight Committee,Strong Communities Advisory Committee Are you an employee of any vendor, contractor or consultant doing business with the City of Stockton?
Yes No
Question applies to Strong Communities Advisory Committee Are you at least 18 years of age?
Yes No
Interests & Experiences
Please tell us about yourself and why you want to serve.
My name is Geneva Moorad and I'm a advocate. I would like to serve my community and find ways to help the city.
Please state the reason you would like to be a member of this board/commission.
I would like to make a different in our community.
Geneva Moorad
Attachment A
Upload a Resume
Have you served on an advisory group before?
Yes No
How did you hear about the position?
city counsel
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
Please identify any specialized accommodations needed for equal participation:
N/A
Enter Your Initials:
GM
Geneva Moorad
Attachment A
Date Signed
3/3/2021
Geneva Moorad
Attachment A