Submit Date: Dec 07, 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 2
The City of Stockton uses email as the preferred method of communication regarding your application. Is this acceptable to you?
Yes No
Employer Address
Are you currently serving on a City of Stockton Board, Commission, or Committee?
Yes No
Katrina Bambula-santos
Stockton CA
Katrina Bambula-santos
Attachment A
Which Boards would you like to apply for?
Water Advisory Group: 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
Possess decision-making abilities
Willingness to tolerate/promote change
I have been a resident of Stockton for at least 3 years.
Yes No
Question applies to San Joaquin Regional Transit District Board Have you resided within the Transit District boundaries for at least one year? Yes No
Question applies to San Joaquin Regional Transit District Board Are you a resident of the City of Stockton?
Yes No
Question applies to Water Advisory Group
Do you reside within one of the Stockton Municipal Utilities' three utility service areas?
Yes No
Question applies to Water Advisory Group
If yes, state which one:
2 Interests & Experiences
Katrina Bambula-santos
Attachment A
Upload a Resume
Please tell us about yourself and why you want to serve.
I am an active community member and have resided in Stockton since 1998. I have grown to love this city and call it my home. I want to be of service and help our community thrive. I want to see our city flourish by uplifting and supporting existing businesses as well as welcome new business and tourism to our city.
Please state the reason you would like to be a member of this board/commission.
I'd like to have a voice where it matters. I'd love to sit on this board to be an active community member to help make a difference in our city.
Have you served on an advisory group before?
Yes No
How did you hear about the position?
The City Clerk during a Leadership Stockton tour/Mock City council meeting 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)
Katrina Bambula-santos
Attachment A
Question applies to multiple boards
I consent to the City of Stockton verifying my voter registration, if required.
Yes No
Submit Application
Enter Your Initials:
KBS
Date Signed
12/07/2024
Katrina Bambula-santos
Attachment A