Submit Date: Apr 14, 2025
Email Address
First Name Last Name
Street Address Suite or Apt
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
If selected "Other," please specify.
Latinx, Sub White
What district do you live in? *
District 6
The City of Stockton uses email as the preferred method of communication regarding your application. Is this acceptable to you?
Yes No
If you have checked “No”, please identify how you prefer to be contacted:
n/a
Employer Address
Patricia Barrett
Stockton CA
Patricia Barrett
Attachment A
Are you currently serving on a City of Stockton Board, Commission, or Committee?
Yes No
If yes, please list
Mayor's Roundtable on ADA Water Advisory Group
Which Boards would you like to apply for?
Water Advisory Group: Submitted
Question applies to Climate Action Plan Advisory Committee NOTE: This Board requires membership with one of the following groups. If none, please remove board from your application. Do you actively represent any of the following interest groups? Select all that apply. * Environmental
Non-Profit Community Organization
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
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:
Calwater
Interests & Experiences
Patricia Barrett
Attachment A
Upload a Resume
Please tell us about yourself and why you want to serve.
Lived in stockton for 15 yrs, retired, part time self employed, work in mental health advocate for South Stockton and marginal populations
Please state the reason you would like to be a member of this board/commission.
Doing my civic duty and represent district 6 Councilmember, underserved communities, really involved with the world's sustainable development goals Have you served on an advisory group before?
Yes No
If yes, please explain.
Mayor's Task Force for People with Disabilities Taft Community Advisory Board Tri City Homeless Coalition, Alameda county SJC Behavioral Health Services Behavioral Health Board Election Advisory Committee
How did you hear about the position?
Email
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
If yes, please explain
n/a
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
Patricia Barrett
Attachment A
Voter Registration (Questions appear if required)
Submit Application
Please identify any specialized accommodations needed for equal participation:
n/a Service dogs
Enter Your Initials:
PB
Date Signed
11082023
Patricia Barrett
Attachment A