Submit Date: Mar 27, 2024
Email Address
First Name 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?
14 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
Fernando Duarte
STOCKTON CA
Fernando Fernando
Attachment A
Are you currently serving on a City of Stockton Board, Commission, or Committee?
Yes No
If yes, please list
Salary setting Committee.
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 am passionate about improving the quality of life for everyone. I am also an active member of our community that wants to see Stockton thrive. I am a father, husband, business owner and hold a degree from CSU Stanislaus.
Please state the reason you would like to be a member of this board/commission.
I bring my experience, education and integrity to the board to be able to make an impact.
Have you served on an advisory group before?
Yes No
Fernando Fernando
Attachment A
If yes, please explain.
Salary Setting Commitee
How did you hear about the position?
Former council member
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:
Fd
Date Signed
3.27.24 Fernando Fernando
Attachment A