Submit Date: Jun 29, 2025
Email Address
First Name Last Name
Primary Phone Alternate Phone
Employer
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
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
Which Boards would you like to apply for?
Measure A Citizens' Advisory Committee: Submitted
Duwayne Chavez
Duwayne Chavez Page 1 of 3
Attachment A
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
Possess decision-making abilities
Understanding of Ethnic/Gender Diversity
Willingness to tolerate/promote change
Interests & Experiences
Please tell us about yourself and why you want to serve.
It has always been my objective in life to be of service to my community and make a difference.
Please state the reason you would like to be a member of this board/commission.
As a former police officer, I have a background in law enforcement which I believe can be used to fulfill the duties called for by this board.
Have you served on an advisory group before?
Yes No
City Council Policy 3.03 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
Duwayne Chavez Page 2 of 3
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?
Yes No
Voter Registration (Questions appear if required)
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Enter Your Initials:
DC
Date Signed
06/29/2025
Duwayne Chavez Page 3 of 3
Attachment A