Rev. 3/2023
CITY OF SUNNYVALE
BOARDS AND COMMISSIONS APPLICATION
The City supports its demographic diversity and encourages applicants from all groups to apply.
Office Use Only
Date Received: 4/24/24
Voter registration verified:
On:
4/25/24
By:
MHPlease print or ty pe answers to all questions. Write N/A if not applicable.
General eligibility requirements: Sunnyvale residency. Other requirements may apply to specific boards and commissions.
For more information, contact the Office of the City Clerk via [email protected] or at 408-730-7483 or visit the C ity website at Sunnyvale.ca.gov and search “Boards and Commission ” If you would like to apply for more than one vacancy,
place a number next to the board or commission, in order of your preference, for which you would like to apply.
Only applications for current openings will be considered at this time. Applications for future openings will be kept on file for one year. Qualified applicants will be contacted for an interview with City Council. Appointments will be made at a regular meeting of the City Council.
_____ Arts Commission
_____ Bicycle and Pedestrian Advisory Commission
_____ Board of Library Trustees*
_____ Heritage Preservation Commission*
_____ Housing and Human Services Commission
_____ Human Relations Commission
_____ Parks and Recreation Commission*
_____ Personnel Board*
_____ Planning Commission*
_____ Sustainability Commission
*Registered Sunnyvale voter
If you are applying for the Bicycle and Pedestrian Advisory Commission, please identify the category for which you are applying.
_____ Category One: Applicants must be bicyclists or pedestrians resi ding in Sunnyvale. _ _ Category Two: Applicants must have an interest in bicycle and/or pedestrian issues in the City , reside outside Sunnyvale and belong to one of the groups listed below. Please check as many that apply:
_____ Parent Teacher Associations (PTA)/parent group member _____ Administrations of schools in Sunnyvale
_____ Commute coordinators for major employers within Sunnyvale _____ Principals or teachers from Sunnyvale schools
If you are applying for the Human Relations Commission, please identify the category for which you are applying:
_____ Category One: A pplicants shall be Sunnyvale residents. _____ Category Two: Applicants shall include representatives of a nonprofit service agency that serves Sunnyvale residents. Such members need not be Sunnyvale residents.
If you are applying for the Sustainability Commission, please identify the ca tegory for which you are applying. _ _ Category One: A pplicants shall be Sunnyvale residents. _ _ Category Two: Appl icants shall include members of the Sunnyvale business community*. Such members need not be Sunnyvale residents.
*Sunnyvale business license holders; or designated representative of Sunnyvale businesses with 200 or more employees.
Applicant Name:
Last First M.I.
Current Residence
Street City State Zip
E-mail Address:
Preferred Contact Phone Number(s):
X
Danielski
Daryl
A
Sunnyvale
Ca
94085
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Sunnyvale
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Attachment 3
Applicant Name______________________
Rev. 3/2023 Page 2 of 15
1. Are you a currently-registered voter in Sunnyvale?
Yes _ _ No _ __
When was the last time you voted?
Month ______________ Year ______
2. Are you currently serving or have you served on a City of Sunnyvale board or commission? Yes _ _ No _ __
If yes, which one? Term currently serving
Term previously served
3. Prior attendance at a board or commission meeting is highly desirable. Have you attended meeting(s) of the board or commission for which you are applying?
Yes ______ No ______
If yes, how many meetings have you attended?
NOTE: If you are applying for more than one board or commission, please reference the specific board or commission in your response to questions 4-7.
4. What motivated you to apply for this board or commission?
5. What skills or attributes can you bring to this board or commission?
Daryl A. Danielski
2 Meetings
Sunnyvale's vibrant parks are a cornerstone of my and my families life here.. From afternoons spent exploring the newest parks to community events that foster connection, these spaces have enriched my experience and fostered a deep sense of belonging within my community. Now, I'm driven to contribute to their continued success. Serving on the Commission would allow me to leverage my passion for our community's well-being and help continue fostering the sense of belonging and fun for others.
As a program manager and problem solver, I can bring a valuable skill set to the Parks and Recreation commission. My experience in managing and executing programs, as well as your ability to identify and solve problems, would be a great asset to the city of Sunnyvale and the Parks and Recreation board.
Here are some specific skills and attributes that I can help provide:
Program management skills: I have a proven track record of successfully managing and executing programs. I am able to develop and implement plans, manage budgets, and track progress.
Problem-solving skills: I am able to identify and solve problems. I am able to think critically and come up with creative solutions that can be budget friendly and friendly to our parks.
Communication skills: I can communicate effectively with a variety of stakeholders, including elected officials, staff, and the public.
Leadership skills: I am able to lead and motivate others. I look to build consensus and get people to work together towards a common goal.
Teamwork skills: I am able to work with a team when necessary to achieve common goals and help build better foundations for teamwork.
Commitment to the community: Lastly, I am committed to serving the community. I am passionate about making a positive difference in the lives of those in Sunnyvale and continuing to make this one of the greatest cities to live in.
March
2024
✔
✔
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Attachment 3
Applicant Name______________________
Rev. 3/2023 Page 3 of 15
6. The primary role of a board or commission member is to provide advice to City Council on policy issues that are within the scope of that board or commission. With this in mind, what steps would you take to effectively exercise this specific board or commission role?
7. Education: List college degrees and majors, and any relevant training or experience that demonstrates your ability to effectively serve on this board or commission.
8. Briefly describe your current or last occupation.
9. Briefly describe what you learned by attending a meeting of the City Council, board or commission. Describe what improvements you would suggest the City consider.
Daryl A. Danielski
I have a BA in Business and Human Resource Management and I have a MA in Religious Studies. Much of my experience comes from being a citizen of Sunnyvale and having a strong interest on helping build a greater community.
Last year I spent almost 200 days visiting the city parks and admiring them. I've talked to many of the city workers who maintain the parks. I have attended many of the parks events and even participated as a photographer for the city.
As a Program Manager for the Connect Sales team at Google, my primary responsibilities revolve around developing and executing strategic initiatives, managing cross-functional projects, and driving operational excellence to enhance the sales performance of the Connect product.
Many of the things I learned were based on the meeting for the creation of the new Live Oak park. I learned how the parks and recreation Commission operated and how meetings are held.
I would make sure I was up-to-date on the latest issues facing the commission, including any relevant laws, regulations, and policies. I would also read the minutes of previous commission meetings and review any reports or studies that have been prepared on the issues to make sure I was a subject matter expert when giving counsel.
I would make sure I was meeting with stakeholders, residents, park goers, and city park staff to get their input so I understand if the issues are wide spread or siloed. These would then be prioritized by importance.
Using my research into these issues, I would develop recommendations for the City Council. My recommendations would be based on city policy and would be in the best interest of the community. I would ensure that I was an advocate for these findings and provide a solid foundation for my claims.
I would monitor any changes and report back to the city counsel to notify them of how any decision has been received by the community.
Attachment 3
Applicant Name______________________
Rev. 3/2023 Page 4 of 15
10. Describe your involvement in community activities, volunteer and civic organizations.
11. The City has a Code of Ethics and Conduct for Elected and Appointed Officials and an Attendance Policy (7.2.19), 2.G.(II) that appointed members are required to follow. Do you have any concerns in these two areas? Yes _ _ No _ __
If s
o, please describe.
12. If an unplanned vacancy arises on the board(s) or commission(s) you are interested in, would you be willing to accept a temporary appointment for the remainder of the unexpired term or until a recruitment is held and Council officially fills the vacancy?
Yes ______ No ______
IMPORTANT NOTICES – READ BEFORE SIGNING:
All information provided on this application becomes a public record after it is officially filed. This document will be published to the City website with the interview materials. Personal contact information will be redacted.
Applicants appointed to the Planning Commission, Arts Commission, Heritage Preservation Commission and Housing and Human Services Commission are required to electronically file the Fair Political Practices Commission (FPPC) Statement of Economic Interests (Form 700), which is a public record. The Form 700 reports your economic interests and your spouse/domestic partner’s economic interests (if applicable). A copy of this form is available in the Office of the City Clerk or by visiting www.fppc.ca.gov/Form700.html
Pursuant to the Americans with Disabilities Act (ADA), the City of Sunnyvale will make reasonable efforts to accommodate persons with qualified disabilities during the boards and commission interview process. Should you require special accommodations, please contact the Office of the City Clerk via [email protected] or at 408-730-7483 at least five days in advance of your scheduled interview.
I certify
under penalty of perjury that all statements I have made on this application are true and correct. I hereby authorize the City of Sunnyvale to investigate the accuracy of this information from any person or organization, and I release the City of Sunnyvale and all persons and organizations from all claims and liabilities arising from such investigation or the supplying of information for such investigation. I acknowledge that any false statement or misrepresentation on this application or supplementary materials will be cause for refusal of appointment or immediate dismissal at any time during the period of my appointment.
Your application is not complete until it is signed and submitted to the Office of the City Clerk.
Complete all above fields , the Supplemental Questionnaire and Demographic Information prior to signing this document. Applying your digital signature locks the information you entered, preventing further edits.
Signature of Applicant Date
Please return to: Office of the City Clerk, 456 W. Olive Ave., P.O. Box 3707, Sunnyval e, CA 94088-3707 or email to [email protected]
Daryl A. Danielski
4/24/2024
I am actively involved in various community activities, volunteer organizations, and civic projects, both within my local community and through my work at Google. I am a member of the Southbay Historic Railway Society and I volunteer my time to support youth development and fundraising activities for the organization. I engage with young people to educate them about local history of the Santa Clara Depot and railway preservation at the museum. I also assist in organizing and executing fundraising events to support the society's mission.
I also participate in Google's "Serve the Bay" program, where I volunteer my time to support various community projects.
I serve as a mentor to high school students, providing guidance on career development and personal growth. ✔
✔
Attachment 3
Applicant Name______________________
Rev. 3/2023 Page 11 of 15
Park and Recreation Commission
We are looking for someone who has interest in open space and recreational activities
13. Community demographics are constantly changing. What do you think are the principal issues this Commission may be addressing over the next few years?
Daryl A. Danielski
With the community demographics constantly influx, the Sunnyvale Pars and Recreation commission must be adaptable to the changes coming. This means adapting parks and recreation programs to meet the needs of a diverse and growing population within the city as well as ensuring equitable access to parks and recreation facilities and events for all residents.
We must look at how we can keep our parks environmentally sustainable looking at climate change and how the city parks should be adapted to meet the needs of a changing world. The Commission will need to look at sustainable practices in both management and maintenance to achieve a better outlook for future generations.
As we look at the changing demographics, the Commission needs to seek equitable programs for physical activity and healthy lifestyles through parks and recreation programs. As the demographic ages, also looking at how we can provide inclusive and accessible recreation.
Additionally, Sunnyvale is one of the key cities in the Silicon Valley. Technology to enhance the parks will play into many decisions in the future. These technological advances can help visitors feel included, enhance their experience, and provide new opportunities for engagement.
Overall, with the demographic changing, we need to find ways to encouraging community involvement in the planning and management of parks and recreation spaces, building partnerships with local organizations and businesses to support parks and recreation programs.
With that said, the Commission will also need to address the changing economic climate and how to fund future projects.
Attachment 3
Applicant Name______________________
Rev. 3/2023 Page 15 of 15
Demographic Information
** This voluntary Demographic Information is public information ** This information will help Council meet its goal of ensuring that the Human Relations Com mission as well as other boards and commissions reflects the demographic diversity of Sunnyvale residents.
Age:
Under 18
18-44
45-64
65+
Prefer Not to Answer
Gender:
Female
Male
Non-binary/Non-conforming
Transgender
Prefer Not to Answer
Not Listed:
Do you identify as LGBTQIA+ :
Yes
No
Prefer Not to Answer
Race/Ethnicity: select all that apply.
White
Black/African-American
Asian
Hispanic-Latinx/o/a/e
Native American/Indigenous
Native Hawaiian or Pacific Islander
Prefer Not to Answer
Not Listed:
Do you speak a language other than English? If yes, please share Household Income:
<$161,670 (median household income)
$161,670+
Prefer Not to Answer
Are you a:
Renter
Homeowner
Both (mobile homeowner)
Prefer Not to Answer
Not Listed:
Do you live in a:
Apartment/Condo
Single Family Home
Mobile Home
Prefer Not to Answer
Not Listed:
Any other identities that you would like us to know about?
Daryl A. Danielski
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Attachment 3
English translation of Spanish responses attached
CITY OF SUNNYVALE
BOARDS AND COMMISSIONS APPLICATION
Office Use Only
4125124 Date Received: __ _
The City supports its demographic diversity and encourages applicants from all groups to apply.
Voter regislrallon verified:
Sunnyvale
On: _____ _
By:
Please print or type answers to all questions. Write N/A If not applicable.
Gene ral eligibility requiremen ts: Sunnyvale residency. Other requirements may apply to specific boards and commissions.
For more inform ation, contact the Office of the City Clerk via cltyclerk@su nnwale.ca.gov or at 408-730-7 483 or visit the City website at Sunnwale.ca.gov and search "Boards and Commission" Arts Commission
If you would like to apply for more than one vacancy,
place a number next to the board or commission, in order of your preference, for which you would like to apply.
__ Bicycle and Pedestr ian Advisory Commission
__ Board of Library Trustees ·
Only applications for current openings will be considered at this time. Applications for future openings will be kept on file for one year. Qualified applicants will be contacted for an interview with Cily Council. Appointments will be made at a regular meeting of the City Council.
__ Heritage Preservation Commission·
Housing and Human Services Commission
~ Human Relations Commission
__ Parks and Recreation Commission·
Personnel Board'
__ Planning Commission·
__ Sustainability Commission
'Registered Sunnyvale voter
If you are applying for the Bl cycle and Pedestrian Advisory Commission, please identify the category for which you are applying.
_D_ Category One: Applicants must be bicyclists or pedestrians residing in Sunnyvale . .r=]_ Category Two: Applicants must have an Interest in bicycle and/or pedestrian issues in the City , reside outside Sunnyvale and belong to one of the groups listed below. Please check as many that apply:
__ Parent Teacher Associations (PT A)/parent group member __ Administrations of schools in Sunnyvale
__ Commute coord inators for major employers within Sunnyvale __ Principals or teachers from Sunnyvale schools
Category One: Applicants shall be Sunnyvale residents.
11 you ar1 rrng for the Human Relations Commission, please identify the category for which you are applying:
Category Two: Applicants shall include representatives of a nonprofit service agency that serves Sunnyvale residents. Such members need not be Sunnyvale residents.
If you are applying for the Sustainability Commission, please identify the category for which you are applying . ..D.. Category One: Applicants shall be Sunnyvale residents. _c:J_ Category Two: Applicants shall include members of the Sunnyvale business community'. Such members need not be Sunnyvale residents .
'Sunnyvale business license holders; or designated representative of Sunnyvale businesses with 200 or more employees.
Applicant Name:
Last
Current Residence
City State Zip
E-mail Address:
Preferred Contact Phone Number(s):
Rev. 3/2023
Attachment 3
Applicant Name ____ ____ _ _
1. Are you a current~~stered voter in Sunnyvale?
Yes C:J No
When was the last time you voted?
Month Select Year __ _
Yes C:J No
2. Are you cuffenlly ~1 9 or have you se.ved oo a City of Sunnyvale board or commission? If yes, which one? _ ________ ____ Term currently serving ____________ _ Term previously served
3. Prior attendance at a board or commission meeting is highly desirable. Have you attended meeting(s) of the board or commission for which you are applying?
Yes .Jsll_N o CJ
If ye\ how many meetings have you attended?
f\ C}V\ 1,<)o-M
NOTE: If you are applying for more than one board or commission, please reference the specific board or commission in your respons e to questions 4"7,
5. What skills or attributes can you bring to this board or commission? '&)~ o ·(\O. ,v\.◊s~, CL't'\~ 'i ~ \l\t t .~_c:!~ ,01 c..01~0-2.. c)~ 0-S\:>1""-'\ 'f O,,f l l"-> r:, n SCI \o \ \ Z ,~c, 0\ , Y) C> Y\ ~ ~ ~ ,\,_,J '-\ ~\, l<l ~ ..\,,c.\c, CL'f\ c00~c., ct_~I\. ~ \tJ~ \v\q: y-&c::s~\I\ \-o- tu... 0\ c.\~ .
Rev. 3/2023 Page 2of 15
Attachment 3
6. The primary role of a board or commission member is to rovide . "Applica~t Name _________ _ scope .of .that board or commission. With this in mind t t ~ advice to City Council on policy issues that are within the comm1ss1on role? ' w ia s.eps would you take to effectively exercise this specific board or - f2ct0-l\f,-.n~ Q::)0 \ c.\. CG'MUv'\~doJ ~ QScuc_ \-__c,c..\c~ re\\~ St\.b<r( C..t)O\~<:> So\'\ su > (\Q_c~s~do ~ \t S •
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7. Ed~cation: List college degrees and majors, and an releva • • • • effectively serve on this board or commission. y nt tr am1ng or experience that demonstrates your ability to S.Y-·l l\d M~0 ~~ ~'(C:.lQ.\(!)'(0 ~~ E\r-"(?1~ soc;., . - t\.l'(\t. 1 o,'\0-~ \
0 o VG 'a \f ca.l , •
8. Briefly describe your current or last occupation .
. .. SC.)1-\ })'rrv<t.i
~· Briefly describe what you learned by attending a meetin of th • • improvements you would suggest the City consider. g e City Council, board or commission. Describe what \-\ ~ <~ ~·~~M 2,c, "' z ""~", ~\ xt c. fo i~ \o 611_ MC>~ i Cl-C!..Z (j , cl"' l"cb 1 ~ \)O 2.- °'- \.:,c.k<:, \c,.. 3 l?'(tso /\<> ) , ¼, of<'.'~ c \ l' ck, \"' t ~ f<l' 6 " '---' "'. ck h ~ ,I \ z d \''"' -' o I\ d, > ..
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Attachment 3
Applicant Name _____ ____ _
10. Describe your involvement in community activities, volunteer and civic organizations. •' 5o'\ \rd~\ ~~ \Qx (_t)\N\0 (\ \ d e,l J dct s Cr(\\~ c,\\Q.. ~ {\JtC..Q_ k - '{~<::_~ 'b e._"> ~ -A \1'~ y\~\~~ ~ \I\ \'0 5ob,~ ~<Y-~ 'f(\lt-4.C\ J l,\ s~ t o\ ~l O), {~ \ c.h rQ r<S ~, ~ C.Y\Cj<!\V\\2..0<'.: , (.'\\'\(:5 5°;--'(\ 0_\'l~'(V.\0 c...\~ \C) C,_(0 ~o\fC. ,ib\!v'- ~L\.'./\,1 ~ •~ ~ \y\~\j\v\0.,<.'., t (.)V\ Cs:s;( \ \~.\ C...0 \;AUIJ'\\J~\('~ fl~CQ.S\ ~Q..\ e.~d- • ', ,
- ~ ~V'C.':,~ \~ ) ~~\ <::5~ Yl '\-~ ('._ \ C.) \f\_ \c, ~ y\e_\ JI(, \ ~ C~vr\O \'\ \ C~ CA aQ •
11. The City has a Code of Ethics and Conduct for Elected and Appointed Officials and an Attendance Policy (7 .2.19), 2.G.(11) that appointed members are required to follow. Do you have any concerns in these two areas? Yes D No Eb
If so, please describ~
12. If an unplanned vacancy arises on the board(s) or commission(s) you are interested in, would you be willing to accept a temporary appointment for the remainder of the unexpired term or until a recruitment is held and Council officially fills the vacancy? r3.~
Yes ---r-No D
IMPORT ANT NOTICES - READ BEFORE SIGNING:
All information provided on this application becomes a public record after it is officially filed. This document will be published to the City website with the interview materials. Personal contact information will be redacted.
Applicants appointed to the Planning Com miss ion, Arts Commission , Heritage Preserva tion Commission and Housing and Human Services Com mission are required to electronically file the Fair Political Practices Commission (FPPC) Statement of Economic Interests (Form 700), which is a public record. The Form 700 reports your economic interests and your spouse/domestic partner's economic interests (if applicable). A copy of this form is available in the Office of the City Clerk or by visiting www.fppc.ca. gov/Form700.html Pursuant to the Americans with Disabilities Act (ADA), the City of Sunnyvale will make reasonable efforts to accommodate persons with qualified disabilities during the boards and commission inteNiew process. Should you r,equire special accommoda tions, please contact the Office of the City Clerk via cityclerk@sunnyvale .ca.gov or at 408-730-7483 at least five days in advance of your scheduled interview.
I certify under penalty of perjury that all statements I have made on this application are true and correct. I hereby authorize the City of Sunnyvale to investigate the accuracy of this Information from any person or organization, and I release the City of Sunnyvale and all persons and organizations from all claims and liabilities arising from such investigation or the supplying of information for such investigation. I acknowledge that any false statement or misrepresentation on this application or supplementary materials will be cause for refusal of appointment or immediate dismissal at any time during the period of my appointment.
Your application is not complete until it is signed and submitted to the Office of the City Clerk.
Complete all above fields, the Supplemental Questionnaire and Demographic Information prior to signing this document. Applying your digital signature locks the information you entered, preventing further edits.
Signature of Applicant Date
Please return to: Office of the ity Clerk, 456 W. Olive Ave., P.O. Box 3707, Sunny vale, CA 94088-3707 or email to c itycl erk@sunnyv ale.ca.gov
Rev. 3/2023 Page 4 of 15
Attachment 3
Applicant Name ----------
Human Relations Commission
::::i~~:~:~g for someone with community-level experience on issues related to equity, access, inclusion, and
11. What do you think are major equity challenges facing the Sunnyvale community? - {::'s l'V\\)C( c_c~~OSf--') ~ ~.'S, ij\~)C\lf\0(9~ ot _$0\'\V\yuol\ " - \.os c.., \\~,~ck'- \-c_\ ,\o '.":i $(. a..~{c) I.\~ c~ t;\ Q_'{\_ \o.5 c_Q;s-to) & o\'\~ 'I\C~ u·''\ c{J'--\o Q'f\ Q_-S?~c\d\~Y\ k.\ CQ,MOV\lJGJ \o. \-~ nc.."\.
- v~o M.t1c._~-o~ (\~CCLs\dtkc~~ S c:-.n \o. C~\IV'o'<'l\60~ \0-\~'('O. \o. IJ'A.d..~~c~\(.\ ~o'< J. <::, CQ./lD< r-\ c, 1A tt) . ex \n '.> a ,yi c\c, ~ '\ \l~ \, 1":. (\(,0. \ <I- c} Ll ,\ ('l.J • ::~s:~~:~i~:~~e your experience working with historically marginalized communities. How have your actions benefited __ so ~, \ t ck \ <' <;. ~\Q \ 6 cc<-'<' "'\ c~uc,\ & " S Cl ""'I. ti o.\ Q_ '\ ci_ ~'""" s ck ct<:. le, r O 10 ""°' "'"' """' '.:> \~"{uc~I'-~ '\ o.~c,'{<> &, t l'\f c fo \.,. 0"-' \, pore, I Q.S f«'So""~ Y . .,., \ l tJl\"' "- "' <:. \ y10 • t<> i "- so~ti '-\ "., c:l lt' 1 f" \S<H'-" ~ s;: "' "'-.o "-\ ,n 1 €" 1 so "<:>.c d0 I '!,b) f v' ';\ ;<! <p <; 1 L c::,,~u", d "~ l c>. \:, ""' '\ u:, "'-<'<'> b c', <' U.,. c~ ''-T o. 5o 11 "'-\ vc1 \ ":
~~ 0 ~" \)<, lf"C, -s C'.. _ o_ \ "& \J t <!Y< COV\ "'-"'-cu 'S-\ ,~oc~ "-b"" f °'~ \; "'1C>S i Af" t•"''"d/•11 a.c_~\'CC\ JCL \o;, x~ce\!Sa S ctoc \\Qv'\-(. ~\ CDV'-&-<S <9 \J L\ cn\fv'\&) ~\\Gs Set f~&~"' 6'<'~ ~~c._\~\'( Jq q_tlO. .
- i\-jb '-\'K \"'<'..--,; I 1/\ \ c: \ o. \ 't'-, ~ ". vj J~ SJ-\ ro l l ~ •= S f c\~ ', C\-"' kV'<!..(' c. \. a "' \ 0 ~ C(')vv\OVl t Jo c~ S If""' c:-.) \J 6 \ n ~ "(~6l0S • \ Rev. 3/2023 Page 10 of 15
Attachment 3
Applicant Name _________ _
Demographic Information
** This voluntary Demographic Information is public information ** This information will help Council meet its goal of ensuring that the Human Relations Commission as well as other boards and commissions reflects the demographic diversity of Sunnyvale residents.
Age:
D Under 18
0 18-44
fi._45-64
□ -6s+
D Prefer Not to Answer
Gen!der:
Female
Male
D Non-binary/Non-conforming
D Transgender
D Prefer Not to Answer
D Not Listed:
Do you Identify as LGBTQIA+ :
D Yes
i ~~efer Not to Answer
Race/Ethnicity: select all that apply.
0 White
D Black/African-American
i
Asian
• Hispanic-Latinx/o/a/e
Native American/Indigenous
D Native Hawaiian or Pacific Islander
D Prefer Not to Answer
D Not Listed:
Do you speak a language other than English? If yes, please share Srv1 i ~ ~ .
Household Income:
~ <$161,670 (median household income)
'5' $161,670+
D Prefer Not to Answer
Are you a:
15{_ Renter
[!J • Homeowner
D Both {mobile homeowner)
D Prefer Not to Answer
D Not Listed:
Do you live In a:
'1i: Apartment/Condo
ifi- Single Family Home
D Mobile Home
D Prefer Not to Answer
D Not Listed:
Any other identities that you would like us to know about? Rev. 3/2023 Page 15 of 15
Attachment 3
Jaqueline Martinez
4. What motivated you to apply for this board or commission?
One of the things that motivates me is the desire to contribute to the community and to feel useful, knowing that I will be able to understand the needs of the community and be a voice for these people.
5. What skills or attributes can you bring to this board or commission?
I am an understanding woman, capable of taking on challenges and roles with responsibility, honesty, and above all with passion, at all stages of my life.
6. The primary role of a board or commission member is to provide advice to City Council on policy issues that are within the scope of that board or commission. With this in mind, what steps would you take to effectively exercise this specific board or commission role?
- Meet with the community and listen to the people to understand their needs. - Serve as a spokesperson to represent all community members before the council in order to find solutions to their problems.
- Seek spaces for the community to participate in different activities and help them learn about the benefits that are available to them.
7. Education: List college degrees and majors, and any relevant training or experience that demonstrates your ability to effectively serve on this board or commission.
- I am a business administrator.
- Civil servant.
8. Briefly describe your current or last occupation.
- I am a driver
9. Briefly describe what you learned by attending a meeting of the City Council, board or commission. Describe what improvements you would suggest the City consider.
I have learned the importance of democracy, and the value of giving everyone a voice. I have learned the importance of citizen participation and discovered the crucial role that City Councils, boards and commissions play in solving problems and exploring initiatives that contribute to the active development of the city.
10. Describe your involvement in community activities, volunteer and civic organizations.
- I am a community leader with Sunnyvale Community Services. - I receive training on the programs and services offered by different non-profit organizations to share this information with the community in need.
Attachment 3
- We are the Latino representation of the community.
11. What do you think are major equity challenges facing the Sunnivale community?
- Housing in Sunnyvale is very expensive.
- Tenants [sic] take advantage of people with the rental costs, especially with the Latino community.
- I see many needs within the Latino community, most of them due to a lack of awareness of the help that the City provides.
12. Please describe your experience working with historically marginalized communities. How have your actions benefited these communities?
- We are Sunnyvale community leaders, and through this program, we have helped people and supported initiatives for North Sunnyvale residents, the unhoused people, low-income people, and the Latino community who are new to Sunnyvale. When we see someone in need, we share information about the resources offered by the County and how people can benefit from them.
- We support initiatives and develop ideas that benefit the most vulnerable communities.
Attachment 3
~'~ ...:: ~
..
Sunnyvale
CITY OF SUNNYVALE
BOARDS AND COMMISSIONS APPLICATION
The C;ty supports its demographic diversity and encourages applicants from all groups to apply.
Please print or type answers to all questions. Write N/A if not applicable.
Office Use Only
Date Received: 04/25/24
Voter registration verified:
On: ______ _
By: MH
General eligibility requirements: Sunnyvale residency. Other requirements may apply to specific boards and commissions.
For more information, contact the Office of the City Clerk via cityclerk@sunnyva le.ca.qov or at 408-730-7 483 or visit the City website at Sunnyvale .ca.gov and search "Boards and Commission" If you would like to apply for more than one vaca ncy,
place a number next to the board or commission, in order of your preference, for which you would like to apply.
Only applications for current openings will be considered at this time. Applications for future openings will be kept on file for one year. Qualified applicants will be contacted for an interview with City Council. Appointments will be made at a regular meeting of the City Council.
Arts Commission
__ Bicycle and Pedestrian Advisory Commission
__ Board of Library Trustees·
__ Heritage Preservation Commission·
__ Housing and Human Services Commission
X Human Relations Commiss ion
Parks and Recreation Commission·
Personnel Board*
__ Planning Commission·
__ Sustainability Commission
*Registered Sunnyvale voter
If you are applying for the Bicycle and Pedestrian Advisory Commission, please identify the category for which you are applying .
.r:::::J.. Category One: Applicants must be bicyclists or pedestrians residing in Sunnyvale . .r:::::J.. Category Two: Applicants must have an interest in bicycle and/or pedestrian issues in the City, reside outside Sunnyvale and belong to one of the groups listed below. Please check as many that apply:
__ Parent Teacher Associations (PTA)/parent group member __ Administrations of schools in Sunnyvale
__ Commute coordinators for major employers within Sunnyvale __ Principals or teachers from Sunnyvale schools
If you are applying for the Human Relations Commission, please identify the category for which you are applying:
.r::z:1. Category One: Applicants shall be Sunnyvale residents . .r:::::J.. Category Two: Applicants shall include representatives of a nonprofit service agency that serves Sunnyvale residents. Such members need not be Sunnyvale residents.
If you are applying for the Sustainability Commission, please identify the category for which you are applying . .r:::::J.. Category One: Applicants shall be Sunnyvale residents . .r:::::J.. Category Two: Applicants shall include members of the Sunnyvale business community*. Such members need not be Sunnyvale residents.
• Sunnyvale business license holders; or designated representative of Sunnyvale businesses with 200 or more employees.
Applicant Name: VALENCIA LANDA YURIANA S.
Last First M.I.
Current Residence lllllllllllllll 1------' S"'"'U"""'N""'N-'-YV-'---'--'A"""L=E"--___ C"-'-A""'.----------' 94~ 0"""86"'---- Street City State Zip
E-mail Address:
Preferred Contact Phone Number(s):
Rev. 3/2023
Attachment 3
1. Are you a currently-registered voter in Sunnyvale?
A pplicant NameYURIANA VALENCIA
When was the last time you voted?
Yes _c::::J.... No IT]
Month -'-A""p-'-'ri.:....I ---'[;:;]= ... =--Yea r 2024
2. Are you currently serving or have you served on a City of Sunnyvale board or commission? Yes _c::::J.... No IT]
If yes, which one? Term currently serving
------------------------------ Term previously served
3. Prior attendance at a board or commission meeting is highly desirable. Have you attended meeting(s) of the board or commission for which you are applying?
Yes _c::J.... No ...r::z:l_
If yes, how many meetings have you attended?
NOTE: If you are applying for more than one board or commission, please reference the specific board or commission in your response to questions 4-7.
4. What motivated you to apply for this board or commission? Mi deseo de influir y participar en la creaci6n de un entomo mejor me impulsa a aplicar para representar una comisi6n de relaciones humanas . Con mi habilidad para comunicarme efectivamente y mi interes por otras culturas, quiero contribuir al impacto comunitario promoviendo la igualdad y la inclusi6n. He desarrollado un sentido arraigado de pertenencia y conexi6n con esta ciudad y aspira a crear ambientes acogedores para todos los residentes. Como parte de la comisi6n , trabajare para construir un futuro mas justo y equitativo para nuestra comunidad.
My desire to influence and participate in creating a better environment drives me to apply to represent a human relations commission . With my ability to communicate effectively and my interest in other cultures , I aim to contribute to community impact by promoting equality and inclusion. I have developed a strong sense of belonging and connection to this city and aspire to create welcoming environments for all residents. As part of the commission , I will work to build a fairer and more equitable future for our community .
5. What skills or attributes can you bring to this board or commission? Habilidad de comunicaci6n efectiva : Capacidad para expresar ideas de manera clara y persuasiva.
Apertura hacia otras culturas : lnteres genuino en aprender sobre diferentes trasfondos y perspectivas.
Empatia y sensibilidad: Capacidad para comprender y relacionarse con las experiencias de los demas .
Visi6n para el cambio: Compromiso con la construcci6n de un futuro mas justo y equitativo.
Trabajo en equipo: Habilidad para colaborar y construir relaciones positivas con otros .
Liderazgo : Capacidad para inspirar y motivar a otros hacia los objetivos de la comisi6n.
Effective communication skills : Ability to express ideas clearly and persuasively.
Openness to other cultures: Genuine interest in learning about different backgrounds and perspectives.
Empathy and sensitivity: Capacity to understand and relate to others' experiences .
Vision for change : Commitment to building a fairer and more equitable future.
Teamwork: Ability to collaborate and build positive relationships with others.
Leadership: Capacity to inspire and motivate others toward the commission's goals.
Rev. 3/2023 Page 2 of 15
Attachment 3
Applicant Name______________________
Rev. 3/2023 Page 3 of 15
6. The primary role of a board or commission member is to provide advice to City Council on policy issues that are within the scope of that board or commission. With this in mind, what steps would you take to effectively exercise this specific board or commission role?
7. Education: List college degrees and majors, and any relevant training or experience that demonstrates your ability to effectively serve on this board or commission.
8. Briefly describe your current or last occupation.
9. Briefly describe what you learned by attending a meeting of the City Council, board or commission. Describe what improvements you would suggest the City consider.
YURIANA VALENCIA
1. Comprender el alcance y las responsabilidades: Familiarizarme con el mandate y las objetivos de la junta o comisi6n, asf coma con las polfticas y procedimientos.
2. Mantenerme informado: Actualizarme constantemente sabre temas de polftica relevantes.
3. Buscar una entrada diversa: lnteractuar con diversas partes interesadas para recopilar perspectivas diversas.
4. Colaborar con otros miembros: Trabajar en equipo para discutir y refinar recomendaciones.
5. Comunicarme efectivamente: Presentar recomendaciones de manera clara y persuasiva.
6. Escuchar y adaptarme: Estar receptive a las comentarios y ajustar segCm sea necesario.
1. Understand the scope and responsibilities: Familiarize myself with the mandate and objectives of the board or commission, as well as with the policies and procedures.
2. Stay informed: Continuously update myself on relevant policy issues.
3. Seek diverse input: Interact with various stakeholders to gather diverse perspectives.
4. Collaborate with other members: Work as a team to discuss and refine recommendations.
5. Communicate effectively: Present recommendations clearly and persuasively.
6. Listen and adapt: Be receptive to feedback and adjust as necessary.
Mi formaci6n incluye una licenciatura en lngenierfa Civil, respaldada par experiencia en el sector comercial, gestionando carteras de clientes y ofreciendo asesoramiento empresarial para una multinacional cementera. Ademas, tengo experiencia en gesti6n de proyectos y organizaci6n, asf coma en representaci6n de negocios entre fabricantes chinos y clientes latinoamericanos. Actualmente, estoy ampliando mis habilidades mediante estudios de ingles y participando activamente coma voluntario en la escuela primaria de mis hijos. En la comunidad, desempeiio roles de liderazao en el Centro Comunitario de Sunnwale v oarticioo en cursos de oeaueiias emoresas iunto a mi esoosa. con D Actualmente, trabajo ayudando en la administraci6n del pequeiio negocio que estamos formando con mi esposa en la venta de fragancias. Ademas, represento a fabricantes chinos ante clientes latinoamericanos. Complemento estas funciones con un trabajo temporal en una cadena de hoteles llamada Rosewood, ubicada en Menlo Park.
Currently, I work in assisting the management of the small business my wife and I are establishing, focusing on D Attachment 3
Applicant NameYURIANA VALENCIA
10. Describe your involvement in community activities, volunteer and civic organizations.
Participo activamente en actividades comunitarias y organizaciones civicas. Como familia, asistimos regularmente a las reuniones semanales del Centro Comunitario para lideres de la comunidad , donde nos involucramos en discusiones y proyectos locales. Ademas , dedico tiempo como voluntario en la Escuela Primaria Ellis, apoyando diversas iniciativas educativas y eventos escolares para el beneficio de mis hijas y otros estudiantes .
I actively participate in community activities and civic organizations. As a family, we regularly attend the weekly meetings at the Community Center for community leaders, where we engage in discussions and local projects.
Additionally, I volunteer at Ellis Elementary School, supporting various educational initiatives and school events for the benefit of my daughters and other students.
11 . The City has a Code of Ethics and Conduct for Elected and Appointed Officials and an Attendance Policy (7.2.19}. 2.G.(11) that appointed members are required to follow. Do you have any concerns in these two areas? Yes ...c::::]_ No _IT]_
If so, please describe.
12. If an unplanned vacancy arises on the board(s) or commission(s) you are interested in, would you be willing to accept a temporary appointment for the remainder of the unexpired term or until a recruitment is held and Council officially fills the vacancy?
Yes [77 No C7
IMPORTANT NOTICES - READ BEFORE SIGNING:
All information provided on this application becomes a public record after it is officially filed. This document will be published to the City website with the interview materials. Personal contact informat ion will be redacted.
Applicants appointed to the Planning Commission , Arts Commission, Heritage Preservation Commission and Housing and Human Services Commission are required to electron ically file the Fair Political Practices Commission (FPPC) Statement of Economic Interests (Form 700), which is a public record. The Form 700 reports your econom ic interests and your spouse/domestic partner's econom ic interests (if applicable). A copy of this form is available in the Office of the City Clerk or by visiting www.fppc.ca.gov/Form700.html Pursuant to the Americans with Disabilities Act (ADA), the City of Sunnyvale will make reasonab le efforts to accommodate persons with qualified disabilities during the boards and comm ission interview process. Should you require specia l accommodations, please contact the Office of the City Clerk via cityclerk@sunnyva le.ca.qov or at 408-730-7 483 at least five days in advance of your scheduled interview.
I certify under penalty of perjury that all statements I have made on this application are true and correct. I hereby authorize the City of Sunnyvale to investigate the accuracy of this information from any person or organization, and I release the City of Sunnyvale and all persons and organizations from all claims and liabilities arising from such investigation or the supplying of information for such investigation. I acknowledge that any false statement or misrepresentation on this application or supplementary materials will be cause for refusal of appointment or immediate dismissal at any time during the period of my appointment.
Your application is not complete until it is signed and submitted to the Office of the City Clerk.
Complete all above fields, the Supplemental Questionnaire and Demographic Information prior to signing this document. Applying your digital signature locks the information you entered , preventing further edits.
Signature of Applicant L1 /JJ,,r<- t: t ?--- Date _4/_2_5/_20_2_4 ___ _ Please return to: Office of the City Clerk, 456 W. Olive Ave., P.O. Box 3707, Sunnyvale, CA 94088-3707 or email to [email protected]
Rev. 3/2023 Page 4 of 15
Attachment 3
Applicant Name______________________
Rev. 3/2023 Page 10 of 15
Human Relations Commission
We are looking for someone with community-level experience on issues related to equity, access, inclusion, and social justice
11. What do you think are major equity challenges facing the Sunnyvale community?
12. Please describe your experience working with historically marginalized communities. How have your actions benefited these communities?
YURIANA VALENCIA
Como alguien que ha estado involucrado en diversas iniciativas comunitarias relacionadas con la equidad, el acceso, la inclusion y la justicia social, creo que uno de las principales desafios de equidad que enfrenta nuestra comunidad de Sunnyvale es el acceso desigual a la educaci6n y las recurses para familias de bajos ingresos. Muches residentes carecen de acceso a programas educativos de calidad, servicios de salud asequibles y vivienda segura. Ademas, la discriminaci6n en el empleo y la falta de oportunidades laborales equitativas son problemas persistentes que necesitan ser abordados. Como aspirante a la Comisi6n de Relaciones Humanas, estoy comprometido a trabajar en colaboraci6n con otros para identificar soluciones efectivas y promover un cambio positive hacia una comunidad mas justa e inclusiva para todos.
As someone who has been involved in various community initiatives related to equity, access, inclusion, and social justice, I believe that one of the main equity challenges facing our Sunnyvale community is the unequal access to education and resources for low-income families. Many residents lack access to quality educational programs, affordable healthcare services, and safe housing. Additionally, discrimination in employment and the lack of equitable job opportunities are persistent issues that need to be addressed. As an applicant for the Human Relations Commission, I am committed to working collaboratively with others to identify effective solutions and promote positive change towards a fairer and more inclusive community for all.
Mi experiencia trabajando con comunidades marginadas ha sido gratificante y esencial para comprender mejor las complejidades de sus desafios y necesidades. He colaborado en proyectos enfocados en abordar la falta de acceso a la educaci6n, la vivienda asequible y las oportunidades econ6micas organizadas principalmente par el centre comunitario y escuela de mis hijas. A traves de estas iniciativas, he podido proporcionar recurses, apoyo y oportunidades que antes no estaban disponibles para estas comunidades.
Par ejemplo, he paryicpado organizando programas de tutorfa, talleres de capacitaci6n laboral y eventos comunitarios.
Ademas, he desempeiiado un papel active en la difusi6n de recurses entre nuestra creciente comunidad latina en la ciudad, asegurandome de que puedan acceder rapidamente a estos recurses vitales.
Como resultado de estas acciones, he vista coma se fortalece el empoderamiento y se amplfan las horizontes de las personas en estas comunidades. Ademas, al abogar par polfticas mas inclusivas y equitativas, hemos logrado cambios tangibles que mejoran la calidad de vida y fomentan un sentido de pertenencia y dignidad para todos. Tambien asisto regularmente a eventos politicos para conocer mas sabre iniciativas que puedan ayudar a mejorar la situaci6n de muchas personas en estas comunidades.
My experience working with marginalized communities has been rewarding and essential for gaining a better understanding of the complexities of their challenges and needs. I have collaborated on projects focused on addressing the lack of access to education, affordable housing, and economic opportunities, primarily organized by the community center and my daughters' school. Through these initiatives, I have been able to provide resources, support, and opportunities that were previously unavailable to these communities.
For example, I have participated in organizing mentoring programs, job training workshops, and community events.
Additionally, I have played an active role in disseminating resources among our growing Latino community in the city, ensuring they can quickly access these vital resources.
As a result of these actions, I have seen empowerment strengthen and horizons expand for people in these communities. Furthermore, by advocating for more inclusive and equitable policies, we have achieved tangible changes that improve the quality of life and foster a sense of belonging and dignity for all. I also regularly attend political events to learn more about initiatives that can help improve the situation for many people in these communities.
Attachment 3
Applica nt Name YURIANA VALENCIA
Demographic Information
** This voluntary Demographic Information is public information ** This information will help Coun cil meet its goal of ensuring that the Human Relations Commissi on as well as other boards and commissions reflects the demographic diversity of Sunnyvale residents.
Age:
D Under 18
0 18-44
□ 45-64
□ 65+
D Prefer Not to Answer
Gender:
D Female
0 Male
D Non-binary/Non-conforming
D Transgender
D Prefer Not to Answer
D Not Listed:
Do you identify as LGBTQIA+ :
D Yes
□ No
D Prefer Not to Answer
Race/Ethnicity: select all that apply.
□ White
D Black/African-American
D Asian
0 Hispanic-Latinx/o/a/e
D Native American/Indigenous
D Native Hawaiian or Pacific Islander
D Prefer Not to Answer
D Not Listed:
Do you speak a language other than English? If yes, please share Household Income:
0 <$161,670 (median household income)
□ $161,670+
D Prefer Not to Answer
Are you a:
0 Renter
D Homeowner
D Both (mobile homeowner)
D Prefer Not to Answer
D Not Listed:
Do you live in a:
0 Apartment/Condo
□ Single Family Home
□ Mobile Home
D Prefer Not to Answer
D Not Listed:
Any other identities that you would like us to know about? Rev. 3/2023 Page 15 of 15
Attachment 3
~'~ ...:: ~
..
Sunnyvale
CITY OF SUNNYVALE
BOARDS AND COMMISSIONS APPLICATION
The C;ty supports its demographic diversity and encourages applicants from all groups to apply.
Please print or type answers to all questions. Write N/A if not applicable.
Office Use Only
Date Received: 04/25/24
Voter registration verified:
On: 04/26/24
By: MH
General eligibility requirements: Sunnyvale residency. Other requirements may apply to specific boards and commissions.
For more information, contact the Office of the City Clerk via cityclerk@sunnyva le.ca.qov or at 408-730-7 483 or visit the City website at Sunnyvale .ca.gov and search "Boards and Commission" If you would like to apply for more than one vaca ncy,
place a number next to the board or commission, in order of your preference, for which you would like to apply.
Only applications for current openings will be considered at this time. Applications for future openings will be kept on file for one year. Qualified applicants will be contacted for an interview with City Council. Appointments will be made at a regular meeting of the City Council.
Arts Commission
__ Bicycle and Pedestrian Advisory Commission
__ Board of Library Trustees·
__ Heritage Preservation Commission·
__ Housing and Human Services Commission
X Human Relations Commiss ion
Parks and Recreation Commission·
Personnel Board*
__ Planning Commission·
__ Sustainability Commission
*Registered Sunnyvale voter
If you are applying for the Bicycle and Pedestrian Advisory Commission, please identify the category for which you are applying .
.r:::::J.. Category One: Applicants must be bicyclists or pedestrians residing in Sunnyvale . .r:::::J.. Category Two: Applicants must have an interest in bicycle and/or pedestrian issues in the City, reside outside Sunnyvale and belong to one of the groups listed below. Please check as many that apply:
__ Parent Teacher Associations (PTA)/parent group member __ Administrations of schools in Sunnyvale
__ Commute coordinators for major employers within Sunnyvale __ Principals or teachers from Sunnyvale schools
If you are applying for the Human Relations Commission, please identify the category for which you are applying:
.r::z:1. Category One: Applicants shall be Sunnyvale residents . .r:::::J.. Category Two: Applicants shall include representatives of a nonprofit service agency that serves Sunnyvale residents. Such members need not be Sunnyvale residents.
If you are applying for the Sustainability Commission, please identify the category for which you are applying . .r:::::J.. Category One: Applicants shall be Sunnyvale residents . .r:::::J.. Category Two: Applicants shall include members of the Sunnyvale business community*. Such members need not be Sunnyvale residents.
• Sunnyvale business license holders; or designated representative of Sunnyvale businesses with 200 or more employees.
Applicant Name: SANDOVAL BARAJAS MARCOS A.
Last First M.I.
Current Residence lllllllllllllll 1------' S"'"'U"""'N""'N-'-YV-'---'--'A"""L=E"--___ C"-'-A""'.----------' 94~ 0"""86"'---- Street City State Zip
E-mail Address:
Preferred Contact Phone Number(s):
Rev. 3/2023
Attachment 3
1. Are you a currently-registered voter in Sunnyvale?
A pplicant Nam e MARCOS SANDOVAL
When was the last time you voted?
Yes _c::::J.... No IT]
Month ....:S:....:e:..:..le=--=c:..:.t ____ Year __ _
2. Are you currently serving or have you served on a City of Sunnyvale board or commission? Yes _c::::J.... No IT]
If yes, which one? Term currently serving
------------------------------ Term previously served
3. Prior attendance at a board or commission meeting is highly desirable. Have you attended meeting(s) of the board or commission for which you are applying?
Yes _c::J.... No ...r::z:l_
If yes, how many meetings have you attended?
NOTE: If you are applying for more than one board or commission, please reference the specific board or commission in your response to questions 4-7.
4. What motivated you to apply for this board or commission? Mi deseo de influir y participar en la creaci6n de un entomo mejor me impulsa a aplicar para representar una comisi6n de relaciones humanas . Con mi habilidad para comunicarme efectivamente y mi interes por otras culturas, quiero contribuir al impacto comunitario promoviendo la igualdad y la inclusi6n. He desarrollado un sentido arraigado de pertenencia y conexi6n con esta ciudad y aspira a crear ambientes acogedores para todos los residentes. Como parte de la comisi6n , trabajare para construir un futuro mas justo y equitativo para nuestra comunidad.
My desire to influence and participate in creating a better environment drives me to apply to represent a human relations commission . With my ability to communicate effectively and my interest in other cultures , I aim to contribute to community impact by promoting equality and inclusion. I have developed a strong sense of belonging and connection to this city and aspire to create welcoming environments for all residents. As part of the commission , I will work to build a fairer and more equitable future for our community .
5. What skills or attributes can you bring to this board or commission? Habilidad de comunicaci6n efectiva : Capacidad para expresar ideas de manera clara y persuasiva.
Apertura hacia otras culturas : lnteres genuino en aprender sobre diferentes trasfondos y perspectivas.
Empatia y sensibilidad: Capacidad para comprender y relacionarse con las experiencias de los demas .
Visi6n para el cambio: Compromiso con la construcci6n de un futuro mas justo y equitativo.
Trabajo en equipo: Habilidad para colaborar y construir relaciones positivas con otros .
Liderazgo : Capacidad para inspirar y motivar a otros hacia los objetivos de la comisi6n.
Effective communication skills : Ability to express ideas clearly and persuasively.
Openness to other cultures: Genuine interest in learning about different backgrounds and perspectives.
Empathy and sensitivity: Capacity to understand and relate to others' experiences .
Vision for change : Commitment to building a fairer and more equitable future.
Teamwork: Ability to collaborate and build positive relationships with others.
Leadership: Capacity to inspire and motivate others toward the commission's goals.
Rev. 3/2023 Page 2 of 15
Attachment 3
Applicant Name______________________
Rev. 3/2023 Page 3 of 15
6. The primary role of a board or commission member is to provide advice to City Council on policy issues that are within the scope of that board or commission. With this in mind, what steps would you take to effectively exercise this specific board or commission role?
7. Education: List college degrees and majors, and any relevant training or experience that demonstrates your ability to effectively serve on this board or commission.
8. Briefly describe your current or last occupation.
9. Briefly describe what you learned by attending a meeting of the City Council, board or commission. Describe what improvements you would suggest the City consider.
MARCOS SANDOVAL
1. Comprender el alcance y las responsabilidades: Familiarizarme con el mandate y las objetivos de la junta o comisi6n, asf coma con las polfticas y procedimientos.
2. Mantenerme informado: Actualizarme constantemente sabre temas de polftica relevantes.
3. Buscar una entrada diversa: lnteractuar con diversas partes interesadas para recopilar perspectivas diversas.
4. Colaborar con otros miembros: Trabajar en equipo para discutir y refinar recomendaciones.
5. Comunicarme efectivamente: Presentar recomendaciones de manera clara y persuasiva.
6. Escuchar y adaptarme: Estar receptive a las comentarios y ajustar segCm sea necesario.
1. Understand the scope and responsibilities: Familiarize myself with the mandate and objectives of the board or commission, as well as with the policies and procedures.
2. Stay informed: Continuously update myself on relevant policy issues.
3. Seek diverse input: Interact with various stakeholders to gather diverse perspectives.
4. Collaborate with other members: Work as a team to discuss and refine recommendations.
5. Communicate effectively: Present recommendations clearly and persuasively.
6. Listen and adapt: Be receptive to feedback and adjust as necessary.
Mi formaci6n incluye una licenciatura en lngenierfa Civil, respaldada par experiencia en el sector comercial, gestionando carteras de clientes y ofreciendo asesoramiento empresarial para una multinacional cementera. Ademas, tengo experiencia en gesti6n de proyectos y organizaci6n, asf coma en representaci6n de negocios entre fabricantes chinos y clientes latinoamericanos. Actualmente, estoy ampliando mis habilidades mediante estudios de ingles y participando activamente coma voluntario en la escuela primaria de mis hijos. En la comunidad, desempeiio roles de liderazao en el Centro Comunitario de Sunnwale v oarticioo en cursos de oeaueiias emoresas iunto a mi esoosa. con D Actualmente, trabajo ayudando en la administraci6n del pequeiio negocio que estamos formando con mi esposa en la venta de fragancias. Ademas, represento a fabricantes chinos ante clientes latinoamericanos. Complemento estas funciones con un trabajo temporal en una cadena de hoteles llamada Rosewood, ubicada en Menlo Park.
Currently, I work in assisting the management of the small business my wife and I are establishing, focusing on D Attachment 3
Applicant Name MARCOS SANDOVAL
10. Describe your involvement in community activities, volunteer and civic organizations.
Participo activamente en actividades comunitarias y organizaciones civicas. Como familia, asistimos regularmente a las reuniones semanales del Centro Comunitario para lideres de la comunidad , donde nos involucramos en discusiones y proyectos locales. Ademas , dedico tiempo como voluntario en la Escuela Primaria Ellis, apoyando diversas iniciativas educativas y eventos escolares para el beneficio de mis hijas y otros estudiantes .
I actively participate in community activities and civic organizations. As a family, we regularly attend the weekly meetings at the Community Center for community leaders, where we engage in discussions and local projects.
Additionally, I volunteer at Ellis Elementary School, supporting various educational initiatives and school events for the benefit of my daughters and other students.
11 . The City has a Code of Ethics and Conduct for Elected and Appointed Officials and an Attendance Policy (7.2.19}. 2.G.(11) that appointed members are required to follow. Do you have any concerns in these two areas? Yes ...c::::]_ No _IT]_
If so, please describe.
12. If an unplanned vacancy arises on the board(s) or commission(s) you are interested in, would you be willing to accept a temporary appointment for the remainder of the unexpired term or until a recruitment is held and Council officially fills the vacancy?
Yes [77 No C7
IMPORTANT NOTICES - READ BEFORE SIGNING:
All information provided on this application becomes a public record after it is officially filed. This document will be published to the City website with the interview materials. Personal contact informat ion will be redacted.
Applicants appointed to the Planning Commission , Arts Commission, Heritage Preservation Commission and Housing and Human Services Commission are required to electron ically file the Fair Political Practices Commission (FPPC) Statement of Economic Interests (Form 700), which is a public record. The Form 700 reports your econom ic interests and your spouse/domestic partner's econom ic interests (if applicable). A copy of this form is available in the Office of the City Clerk or by visiting www.fppc.ca.gov/Form700.html Pursuant to the Americans with Disabilities Act (ADA), the City of Sunnyvale will make reasonab le efforts to accommodate persons with qualified disabilities during the boards and comm ission interview process. Should you require specia l accommodations, please contact the Office of the City Clerk via cityclerk@sunnyva le.ca.qov or at 408-730-7 483 at least five days in advance of your scheduled interview.
I certify under penalty of perjury that all statements I have made on this application are true and correct. I hereby authorize the City of Sunnyvale to investigate the accuracy of this information from any person or organization, and I release the City of Sunnyvale and all persons and organizations from all claims and liabilities arising from such investigation or the supplying of information for such investigation. I acknowledge that any false statement or misrepresentation on this application or supplementary materials will be cause for refusal of appointment or immediate dismissal at any time during the period of my appointment.
Your application is not complete until it is signed and submitted to the Office of the City Clerk.
Complete all above fields, the Supplemental Questionnaire and Demographic Information prior to signing this document. Applying your digital signature locks the information you entered , preventing further edits.
Signature of Applicant -k Date 4/25/2024
Please return to: Office of the City Clerk, 456 W. Olive Ave., P.O. Box 3707, Sunnyvale, CA 94088-3707 or email to [email protected]
Rev. 3/2023 Page 4 of 15
Attachment 3
Applicant Name______________________
Rev. 3/2023 Page 10 of 15
Human Relations Commission
We are looking for someone with community-level experience on issues related to equity, access, inclusion, and social justice
11. What do you think are major equity challenges facing the Sunnyvale community?
12. Please describe your experience working with historically marginalized communities. How have your actions benefited these communities?
MARCOS SANDOVAL
Como alguien que ha estado involucrado en diversas iniciativas comunitarias relacionadas con la equidad, el acceso, la inclusion y la justicia social, creo que uno de las principales desafios de equidad que enfrenta nuestra comunidad de Sunnyvale es el acceso desigual a la educaci6n y las recurses para familias de bajos ingresos. Muches residentes carecen de acceso a programas educativos de calidad, servicios de salud asequibles y vivienda segura. Ademas, la discriminaci6n en el empleo y la falta de oportunidades laborales equitativas son problemas persistentes que necesitan ser abordados. Como aspirante a la Comisi6n de Relaciones Humanas, estoy comprometido a trabajar en colaboraci6n con otros para identificar soluciones efectivas y promover un cambio positive hacia una comunidad mas justa e inclusiva para todos.
As someone who has been involved in various community initiatives related to equity, access, inclusion, and social justice, I believe that one of the main equity challenges facing our Sunnyvale community is the unequal access to education and resources for low-income families. Many residents lack access to quality educational programs, affordable healthcare services, and safe housing. Additionally, discrimination in employment and the lack of equitable job opportunities are persistent issues that need to be addressed. As an applicant for the Human Relations Commission, I am committed to working collaboratively with others to identify effective solutions and promote positive change towards a fairer and more inclusive community for all.
Mi experiencia trabajando con comunidades marginadas ha sido gratificante y esencial para comprender mejor las complejidades de sus desafios y necesidades. He colaborado en proyectos enfocados en abordar la falta de acceso a la educaci6n, la vivienda asequible y las oportunidades econ6micas organizadas principalmente par el centre comunitario y escuela de mis hijas. A traves de estas iniciativas, he podido proporcionar recurses, apoyo y oportunidades que antes no estaban disponibles para estas comunidades.
Par ejemplo, he paryicpado organizando programas de tutorfa, talleres de capacitaci6n laboral y eventos comunitarios.
Ademas, he desempeiiado un papel active en la difusi6n de recurses entre nuestra creciente comunidad latina en la ciudad, asegurandome de que puedan acceder rapidamente a estos recurses vitales.
Como resultado de estas acciones, he vista coma se fortalece el empoderamiento y se amplfan las horizontes de las personas en estas comunidades. Ademas, al abogar par polfticas mas inclusivas y equitativas, hemos logrado cambios tangibles que mejoran la calidad de vida y fomentan un sentido de pertenencia y dignidad para todos. Tambien asisto regularmente a eventos politicos para conocer mas sabre iniciativas que puedan ayudar a mejorar la situaci6n de muchas personas en estas comunidades.
My experience working with marginalized communities has been rewarding and essential for gaining a better understanding of the complexities of their challenges and needs. I have collaborated on projects focused on addressing the lack of access to education, affordable housing, and economic opportunities, primarily organized by the community center and my daughters' school. Through these initiatives, I have been able to provide resources, support, and opportunities that were previously unavailable to these communities.
For example, I have participated in organizing mentoring programs, job training workshops, and community events.
Additionally, I have played an active role in disseminating resources among our growing Latino community in the city, ensuring they can quickly access these vital resources.
As a result of these actions, I have seen empowerment strengthen and horizons expand for people in these communities. Furthermore, by advocating for more inclusive and equitable policies, we have achieved tangible changes that improve the quality of life and foster a sense of belonging and dignity for all. I also regularly attend political events to learn more about initiatives that can help improve the situation for many people in these communities.
Attachment 3
Applica nt Name MARCOS SANDO VAL
Demographic Information
** This voluntary Demographic Information is public information ** This information will help Council meet its goal of ensuring that the Human Relations Commission as well as other boards and commissions reflects the demographic diversity of Sunnyvale residents.
Age:
D Under 18
0 18-44
□ 45-64
□ 65+
D Prefer Not to Answer
Gender:
D Female
0 Male
D Non-binary/Non-conforming
D Transgender
D Prefer Not to Answer
D Not Listed:
Do you identify as LGBTQIA+ :
D Yes
□ No
D Prefer Not to Answer
Race/Ethnicity: select all that apply.
□ White
D Black/African-America n
D Asian
0 Hispanic-Latinx/o/a/e
D Native American/Indigenous
D Native Hawaiian or Pacific Islander
D Prefer Not to Answer
D Not Listed:
Do you speak a language other than English? If yes, please share Household Income:
0 <$161,670 (median household income)
□ $161,670+
D Prefer Not to Answer
Are you a:
0 Renter
D Homeowner
D Both (mobile homeowner)
D Prefer Not to Answer
D Not Listed:
Do you live in a:
0 Apartment/Condo
□ Single Family Home
□ Mobile Home
D Prefer Not to Answer
D Not Listed:
Any other identities that you would like us to know about? Rev. 3/2023 Page 15 of 15
Attachment 3
CITY OF SUNNYVALE Office Use Only
~'~ ...:: ~ BOARDS AND COMMISSIONS APPLICATION Date Received: 4125124 .. The C;ty supports its demographic diversity and encourages applicants from all groups to apply.
Voter registration verified:
Sunnyvale
On: ______ _
B :
Please print or type answers to all questions. Write N/A if not applicable.
General eligibility requirements : Sunnyvale residency. Other requirements may apply to specific boards and commissions.
For more information , contact the Office of the City Clerk via [email protected] or at 408-730-7483 or visit the City website at Sunnyvale.ca.gov and search "Boards and Commission" Arts Commission
If you would like to apply for more than one vacancy,
place a number next to the board or commission, in order of your preference, for which you would like to apply.
__ Bicycle and Pedestrian Advisory Commission
__ Board of Library Trustees·
__ Heritage Preservation Commission·
Only applications for current openings will be considered at this time. Applications for future openings will be kept on file for one year. Qualified applicants will be contacted for an interview with City Council. Appointments will be made at a regular meeting of the City Council.
__ Housing and Human Services Commission
_x_ Human Relations Commission
Parks and Recreation Commission·
Personnel Board*
__ Planning Commission·
__ Sustainabili ty Commiss ion
*Registered Sunnyvale voter
If you are applying for the Bicycle and Pedestrian Advisory Commission, please identify the category for which you are applying .
..D.. Category One: Applicants must be bicyclists or pedestrians residing in Sunnyvale . ..D.. Category Two: Applicants must have an interest in bicycle and/or pedestrian issues in the City, reside outside Sunnyvale and belong to one of the groups listed below. Please check as many that apply:
__ Parent Teacher Associations (PTA)/parent group member __ Administrations of schools in Sunnyvale
__ Commute coordinators for major employers within Sunnyvale __ Principals or teachers from Sunnyvale schools
If you are applying for the Human Relations Commission, please identify the category for which you are applying :
[ZJ Category One: Applicants shall be Sunnyvale residents. c::::J Category Two: Applicants shall include representatives of a nonprofit service agency that serves Sunnyvale residents. Such members need not be Sunnyvale residents.
If you are applying for the Sustainability Commission, please identify the category for which you are applying . ..D.. Category One: Applicants shall be Sunnyvale residents . ..D.. Category Two: Applicants shall include members of the Sunnyvale business community*. Such members need not be Sunnyvale residents.
Applicant Name:
Current Residence
Preferred Contact
E-mail Address:
Phone Number(s):
Rev. 312023
·sunnyvale business license holders; or designated representative of Sunnyvale businesses with 200 or more employees.
Helman - Caspi
Last
Sunnyvale
Street City
Nili
First
CA
State
M.I.
94087
Zip
Attachment 3
1. Are you a currently-registered voter in Sunnyvale?
Applicant Name : Nili Helman - Caspi
When was the last time you voted?
Yes [77 No C7
Month March Year 2024
2. Are you currently serving or have you served on a City of Sunnyvale board or commission? Yes C7 No [77
If yes, which one? Term currently serving
---------------------------- Term previously served
3. Prior attendance at a board or commission meeting is highly desirable. Have you attended meeting(s) of the board or commission for which you are applying?
Yes _c::J... No ...r::z:l_
If yes, how many meetings have you attended?
NOTE: If you are applying for more than one board or commission, please reference the specific board or commission in your response to questions 4-7.
4. What motivated you to apply for this board or commission? I have served in various diversity & inclusion committees as I am interested in the learning and development aspect of it, and promoting knowledge in our ever growing city diverse community.
I currently serve as an ambassador for Diversity Equity & Inclusion (second term) in my job as a volunteer manager in a national hospice organization . I served as a volunteer member on the first cohort of the Human Relations & Cultural Diversity advisory committee to the City of Sunnyvale that was established back in 2007.
5. What skills or attributes can you bring to this board or commission? I can bring my vast experience and knowledge in the subject including my ability to communicate in 5 languages . I am a people's person and can communicate with people from different backgrounds and communities.
I am certified as a counselor to prevent domestic violence (worked in a shelter for battered women) and am certified as a telephone emotional support counselor on a national suicide hotline.
These skills can be used in the context of this commission.
Rev. 3/2023 Page 2 of 15
Attachment 3
Applicant Name: Nili Helman - Caspi
6. The primary role of a board or commission member is to provide advice to City oo policy iss11es th::it are within the scope of that board or commission. Wrth this in mind, what steps would you take to effectively exercise this specific board or comm ission role?
In the context of the Human Relations commission I would like to advise the city staff about different cultures and how their holidays are celebrated by creating learning/educational events in public areas such as designated parks, the public library etc.
7. Education: List college degrees and majors, and any relevant training or experience that demonstrates your ability to effectively serve on this board or commission.
M.A. art history,
B.A. art history,
B.A. English & French Language and Literature
Expressive Arts therapist,
RCFE Residential Care Facilities for the Elderly,
Certified counselor for domestic violence prevention,
Certified counselor telephone emotional support for national suicide hotline.
8. Briefly describe your current or last occupation.
For the last couple of years I ahve been working as a volunteers and community outreach manager in a national hospice organization matching patients with volunteers and coordinating bereavement aspects for clients.
9. Briefly describe what you learned by attending a meeting of the City Council, board or commission. Describe what improvements you would suggest the City consider .
I did not get a chance to attend one yet, but am very familiar with the city as I was asked to serve on a second term as a volunteer member of the accessibility advisory committee, and have served for a long time as a volunteer on the visual arts advisory committee to the city of Mountain View.
Rev. 3/2023 Page 3 of 15
Attachment 3
Applicant Name: Nili Helman - Caspi
10. Describe your involvement in community activities, volunteer and civic organizations.
I currently volunteer in the city of Sunnyvale for the accessibility advisory committee (have volunteered in the past for the age friendly committee and the Cultural Diversity and Human relations committee}, and have volunteered for the visual arts advisory committee to the city of Mountain View) , and served as a community art and tech ambassador at the Palo Alto Art Center.
I am life member at the women's organization Hadassah (Sequoia chapter)
11. The City has a Code of Ethics and Conduct for Elected and Appointed Officials and an Attendance Policy (7.2.19). 2.G.(11) that appointed members are required to follow. Do you have any concerns in these two areas? Yes C7 No ST]
If so, please describe.
12. If an unplanned vacancy arises on the board(s) or commission(s) you are interested in, would you be willing to accept a temporary appointment for the remainder of the unexpired term or until a recruitment is held and Council officially fills the vacancy?
Yes [77 No C7
IMPORTANT NOTICES - READ BEFORE SIGNING:
All information provided on this application becomes a public record after it is officially filed. This document will be published to the City website with the interview materials. Personal contact information will be redacted.
Applicants appointed to the Planning Commission, Arts Commission, Heritage Preservation Commission and Housing and Human Services Commission are required to electronically file the Fair Political Practices Commission (FPPC) Statement of Economic Interests (Form 700), which is a public record. The Form 700 reports your economic interests and your spouse/domestic partner's econom ic interests (if applicable). A copy of this form is available in the Office of the City Clerk or by visiting www.fppc.ca.gov/Form700.html Pursuant to the Americans with Disabilities Act (ADA), the City of Sunnyvale will make reasonable efforts to accommodate persons with qualified disabilit ies during the boards and commission interview process. Should you require special accommodations , please contact the Office of the City Clerk via [email protected] or at 408-730-7483 at least five days in advance of your scheduled interview.
I certify under penalty of perjury that all statements I have made on this application are true and correct. I hereby authorize the City of Sunnyvale to investigate the accuracy of this information from any person or organization, and I release the City of Sunnyvale and all persons and organizations from all claims and liabilities arising from such investigation or the supplying of information for such investigation. I acknowledge that any false statement or misrepresentation on this application or supplementary materials will be cause for refusal of appointment or immediate dismissal at any time during the period of my appointment.
Your application is not complete until it is signed and submitted to the Office of the City Clerk.
Complete all above fields, the Supplemental Questionnaire and Demographic Information prior to signing this document. Applying your digital signature lnr.kc. thP infnrm::itinn vou entered, preventing further edits.
Signature of Applicant
Please return to: Office of the City Clerk,
email to [email protected]
Rev. 3/2023
~ _____ Date 04/24/2024
~ Box 3707, Sunnyvale, CA 94088-3707 or
Attachment 3
Applicant Name: Nili Helman - Caspi
Human Relations Commission
We are looking for someone with community-level experience on issues related to equity, access, inclusion, and social justice
11. What do you think are major equity challenges facing the Sunnyvale community? I think that the most important equity challenges facing the Sunnyvale community are:
Providing fair access to city resources
Developing comprehensive diversity and inclusion programs and adopt is as part of the city policy Avoid all aspects of racial injustice , hate crimes and systemic racism.
Following transparent procedures to assure public safety accountability.
Maintain a committee like this Human Relations committee that will advise the city about equity issues, promoting equity and inclusion.
12. Please describe your experience working with historically marginalized communities. How have your actions benefited these communities?
I am a certified counselor for prevention of domestic violence.
I have worked and volunteered in this capacity in a shelter for battered women under the umbrella of the AACI organization which serves Asian American women in the Bay Area.
I have been able to help a large number of female clients and their children who in many cases were new immigrants with no English language skills or economical means.
It was a very rewarding experience knowing I was able to help these individuals and get them on the right path to freedom and self sustainability.
Rev. 3/2023 Page 10 of 15
Attachment 3
~'~ ..
Sunnyvale
CITY OF SUNNYVALE
BOARDS AND COMMISSIONS APPLICATION
The City supports its demographic diversity and encourages appUcants from all groups to apply.
Please print or type answers to all questions. Write NIA if not applicable .
Office U.. Only
Date Received: __ _
Voter registration verified:
On: _____ _
By:
General eligibility requirements : Sunnyvale residency. Other requirements may apply to specific boards and commissions.
For more information , contact the Office of the City Clerk via [email protected] or at 408-730-7483 or visit the City website at Sunnyvale .ca.gov and search "Boards and Commission" If you would like to apply for more than one vacancy,
place a number next to the board or commission, In order of your preference, for which you would like to apply.
Only applications for current openings will be considered at this time. Applications for future openings will be kept on file for one year. Qualified applicants will be contacted for an interview with City Council. Appointments will be made at a regular meeting of the City Council.
Arts Commission
== Bicycle and Pedestrian Advisory Commission
Board of Library Trustees·
== Heritage Preservation Commission·
Housing and Human Services Commission
~ Human Relations Commission
-- Parks and Recreation Commiss ion·
Personnel Board·
== Planning Commission·
__ Sustainability Commission
"Registered Sunnyvale voter
If you are applying for the Bicycle and Pedestrian Advisory Commission, please identify the category for which you are applying .
.r:::J.. Category One: Applicants must be bicyclists or pedestrians residing in Sunnyvale . ..c:::J._ Category Two: Applicants must have an interest in bicycle and/or pedestrian issues in the City, reside outside Sunnyvale and belong to one of the groups listed below. Please check as many that apply:
.r::::J.. Parent Teacher Associations (PTA)/parent group member .r::::J.. Administrations of schools in Sunnyvale
.r::::J.. Commute coordinators for major employers within Sunnyvale .c::J. Principals or teachers from Sunnyvale schools
If you are applying for the Human Relations Commission. please identify the category for which you are applying:
..ill_ Category One: Applicants shall be Sunnyvale residents . ..c::J.. Category Two : Applicants shall include representatives of a nonprofit service agency that serves Sunnyvale residents. Such members need not be Sunnyvale residents.
If you are applying for the Sustainability Commission , please identify the category for which you are applying . ..c::J.. Category One: Applicants shall be Sunnyvale residents . ..r:::::J.. Category Two: Applicants shall include members of the Sunnyvale business community' . Such members need not be Sunnyvale residents.
• Sunnyvale business license holders; or designated representative of Stnnyvale businesses with 200 or more employees.
Applicant Name: Shekel Hagit
Last First M.I.
Current Residence --------------'-S-'-u_nn_yv'--'-a-'-'le'--- ____ C..:;.;.._;A'--- _______ 94:;,_;,_;:0;..;;6..;_7 __ _ Street City State Zip
E-mail Address:
Preferred Contact Phone Number(s): -
Rev. 312023
Attachment 3
1. Are you a currently-registered voter in Sunnyvale?
Yes CT] No CJ
Applicant Name Hagit Shekel
When was the last time you voted?
Month _M_a_r_ch ____ Year 2024
2. Are you currently serving or have you served on a City of Sunnyvale board or commission? Yes CJ No CY]
If yes, which one? ___ _ _________ _ Term currently serving _ _ ____________ Term previously served
3. Prior attendance at a board or commission meeting is highly desirable. Have you attended meeting(s) of the board or commission for which you are applying?
Yes CY] No CJ
If yes, how many meetings have you attended?
I attended one online and watched few recorded meetings.
NOTE: If you are applying for more than one board or commission, please reference the specific board or commission in your response to questions 4-7.
4. What motivated you to apply for this board or commission? I was motivated to apply for this board or commission primarily due to my strong commitment to serving the community and contributing to its betterment.
I ~el that_ there is tension bety.,een the gro~ps and sectors within the city, especially the groups I am mosU~ ~ffiliated with:_ Jewish and Israel-American and It 1s important for me to help bring together and connect the commumt1es. By serving on this board or commission, I aim to foster collaboration, understanding, and unity among various groups, ultimately working towards a more cohesive and inclusive community.
5. What skills or attributes can you bring to this board or commission? One of my key strengths lies in my deep understanding of both strong communities and their needs, as well as my understanding through the various professional experience I had of communities with wider needs and more ongoing challenges. This nuanced perspective allows me to advocate for inclusive policies that address the diverse concerns of our community, ensuring that no group is overlooked or marginalized.
Furthermore, I have cultivated strong relationships across various communities, granting me access to a wide network of 1 individuals representing different backgrounds and Interests. My ability to empathize with people from diverse walks of life enables me to facilitate meaningful collaboration among stakeholders.
In addition to my interpersonal skills, I bring stro_ng organizati~nal abilities to_the tab~e.- I am adept a_t managin9 complex projects coordinating diverse teams, and ensuring that deadlines are met with prec1s1on. My attention to detail and proactiv~ approach to problem-solving can help streamline the commission's operations and enhance its overall efficiency.
Rev. 3/2023 Page 2 of 15
Attachment 3
Applicant Name Hagit Shekel
6. The primary role of a board or commission member is to provide advice to City Council on policy issues that are within the scope of that board or commission. With this in mind, what steps would you take to effectively exercise this specific board or commission role?
High level, I believe that becoming a successful commissiona ire requires understand of both the communities needs as well as the constrains and processes of the city council and city policies. Therefore , I will need o invest time in both of these key stakeholders so I can perform as an effective bridge. I listed few activities below but believe this list will grow as I start building more context on the commission:
- I will start by meeting current and past commission members to learn from their experience on what worked and what didn't work in the past. I will also ask for contacts I should further meet. - I will meet with current city council members to better understand the experience and expectation from this committee .
Especially the council members who worked closely with this committee during their current term. - I will read and study related policies and discussions happened during the last 12 months - I will contact the representatives of the communities and meet with them to understand their unique needs
7. Education : List college degrees and majors, and any relevant training or experience that demonstrates your ability to effectively serve on this board or commission.
Bachelor's degree in Social Work (Israel)
Graduate degree in Public Management and Administration (Israel) Graduate degree as Clinical Mental Health Counselor (Washnigton, US) Two years of volunteering with elderly residents (Israel) One year volunteering with special need youth (Israel)
Manager of a mental health emergency line for 4 years (California, US)
8. Briefly describe your current or last occupation.
I am currently working as a clinical counselor
Prior to that I was working as a manager of a mental health emergency line for 4 years
9. Briefly describe what you learned by attending a meeting of the City Council, board or commission. Describe what improvements you would suggest the City consider.
I attended and observed multiple city council meetings during the last 12 months.
The most obvious takeaway for me, is that when someone is attending a council meeting their level of frustration is usually very high and ther reflect very strong emotional pain during the meeting, especially when giving an opportunity to talk in front of the counci or committee.
I believe that this can be greatly improved if more residents will be aware of the various processes and opportunities, they have to express their opinion or needs with the vast number of communities and channels that can be used to help alleviate these concerns .
By reaching out to these channels ear1ier In the identification of the pain point, the resident might be able to receive help quicker and avoid the strong level of frustration that builds up when issues are not being addressed.
Rev. 312023 Page 3 of 15
Attachment 3
L
Applican t Name HaQit Shel<el
10. D~scribe your involvement in community activities, volunteer and civic organizations.
I hved on the site of families who recently immigrated to Israel from Russia and Ethiopia. ~ne of tl_led main chhalleng~s that I_ was required to help with was the day-to-day frustration of dealing with discrimination om res, ents on t e basis of being new to the culture and language .
11. The Ci_ty has a Code of Ethics and Conduct for Elected and Appointed Officials and an Attendance Policy (7.2.19), 2.G.(II) that appointed members are required to follow. Do you have any concerns in these two areas? Yes C7 No [?J
If so, please describe .
12. If an unplanned vacancy arises on the board(s) or commission(s) you are interested in. would you be willing to accept a temporary appointment for the remainder of the unexpired term or until a recruitment is held and Council officially fills the vacancy?
Yes CTI No CJ
IMPORTANT NOTICES- READ BEFORE SIGNING:
All information provided on this application becomes a public record! after it is officially filed. This document will be published to the City website with the interview materials. Personal ,contact information will be redacted.
Applicants appointed to the Planning Commission , Arts Commission, Heritage Preservation Commission and Housing and Human Services Commission are required to electronically file the Fair Political Practices Commission (FPPC) Statement of Economic Interests (Form 700), which is a public record. The Form 700 reports your economic interests and your spouse/domestic partner's economic interests (if applicable). A copy of this form is available in the Office of the City Clerk or by visiting www.fppc .ca.gov/Form700.html Pursuant to the Americans with Disabilities Act (ADA), the City of Sunnyvale will make reasonable efforts to accommodate persons with qualified disabilities during the boards and commission interview process. Should you require special accommodations , please contact the Office of the City Clerk via [email protected] or at 408-730-7483 at least five days in advance of your scheduled interview.
I certify under penalty of perjury that all statements I have made on this application are true and correct. I hereby authorize the City of Sunnyvale to investigate the accuracy of this information from any person or organization, and I release the City of Sunnyvale and all persons and organizations from all claims and liabilities arising from such investigation or the supplying of information for such investigation. I acknowledge that any false statement or misrepresentation on this application or supplementary materials will be cause for refusal of appointment or immediate dismissal at any time during the period of my appointment.
Your application Is not complete until it Is signed and submitted to the Office of the City Clerk.
Complete all above fields, the Supplemental Questionnaire and Demographic Information prior to signing this document Applying your digital signature locks the i o mation you entered, preventing further edits.
Signature of Applicant
Please return to: Office of the City Clerk, 456 W.
email to cltyclertc@sunnvvale .ca.gov
Rev. 312023
Date 4/25/2024
ve Ave., p_o, Box 3707, Sunnyvale, CA 94088--3707 or
Attachment 3
Applicant Name Hagit Shekel
Human Relations Commission
We ara looking for someone with community-level experience on Issues related to equtty, access, Inclusion, and social justice
11. What do you think are major equity challenges facing the Sunnyvale community? I have significant context from the communities I belong to; Jewish and Israeli-American, and will share below the challenges I see firsthand . However, I believe that the challenges we face in our communities are not unique and represent similar challenges other communities do or will face in the future:
- For multiple reasons our society is becoming more on more divisive on more and more topics . There is little opportunity to compromise or find the middle ground, each side of any topic believes that the other side is "evil" or "just don't get it".
This bipolar approach creates and escalates tension between many groups on a multitude of topics and makes It harder to live together.
- In addition to the above inner American trend. we are also more and more impacted by worldwide conflicts, like the war in the Middle East that unfortunately created deeper division within the groups in our city and even events that were traditionally celebrated (like Passover) have been harder to coordinate now.
12. Please describe your experience working with historically marginalized communities. How have your actions benefited these communities?
I managed the PTA at the Jewish school and introduced many new projects (old famiiies adopting new families , central fundraislng for teachers , 2 volunteer parents representing each class, a monthly meeting of the volunteer parents. a teacher appreciation week and more)
I ran the Israeli crisis line from here and supported 100's of callers who needed ad-hoc emotiona l support. I also trained 50 volunteers to become certified crisis-line first responders I volunteered at the synagogue in programs for children and adults As I wrote above. I also lived for a year in an immigrants camp with a role of helping immigrants adjust to the new life and new culture in Israel.
Rev, 3/2023 Page 10 of 15
Attachment 3
Applicant Name Hagit Shekel
Demographic Information
•• This voluntary Demographic Information is public information ·• This Information wlll help Councll meet Its goal of ensuring that the Human Relations Commission as well as other boards and commissions reflects the demographic diversity of Sunnyvale residents.
Age:
0 Under 18
0 18-44
0 45-64
0 65+
0 Prefer Not to Answer
Gender:
0 Female
O Male
0 Non-binary/Non-conforming
0 Transgender
0 Prefer Not to Answer
0 Not Listed:
Do you identify as LGBTQIA+ :
0 Yes
0 No
0 Prefer Not to Answer
Race/Ethnicity : select all that apply .
0 White
D Black/African-American
D Asian
D Hispanic-Latinx/o/a/e
D Native American/Indigenous
D Native Hawaiian or Pacific Islander
D Prefer Not to Answer
D Not Listed:
Do you speak a language other than English? If yes, please share Hebrew Household Income:
D <$161,670 (median household income)
0 $161 ,670+
0 Prefer Not to Answer
Are you a:
D Renter
0 Homeowner
O Both (mobile homeowner)
D Prefer Not to Answer
D Not Listed:
Do you llve In a:
D Apartment/Condo
0 Single Family Home
D Mobile Home
D Prefer Not to Answer
□ Not Listed:
Any other Identities that you would like us to know about? Rev. 312023 Page 15 of 15
Attachment 3
Sunnyvale
CITY OF SUNNYVALE
BOARDS AND COMMISSIONS APPLICATI
The City supports its demographic diversity and enco
applicants from all groups to apply.
By:
Please print or type answers to all questions . Write N/A if not applicable . 0 t ..f "~ ,'<, I q,f • ',..., Va.~ . +. ~Ji '1 / t/l 'I ~ C..
General eligibility requirements: Sunnyva le residency . Other requirements may apply to specific boards and commissions.
For more information . contact the Office of the City Clerk via [email protected] .gov or at 408-730- 7 483 or visit the City website at Sunnyvale.ca.gov and search "Boards and Commission" Arts Commission
If you would like to apply for more than one vacancy,
place a number next to the board or commission, in order of your preference , for whi ch you would like to apply.
Bicycle and Pedestrian Advisory Commission
Board of Library Trustees·
Only applications for current openings will be considered at this time. Applications for future openings will be kept on file for one year. Qualified applicants will be contacted for an interview with City Council. Appointments will be made at a regular meeting of the City Council.
Heritage PreseNation Commission ·
Housing and Human Services Commission
Human Relations Commission
Parks and Recreation Commission ·
1 Personnel Board·
-2- Planning Commission·
__ Sustainability Commission
·Registered Sunnyvale voter
If you are applying for the Bicycle and Pedestr ian Advisory Commi ssion , please identify the category for which you are applying .
..D._ Category One: Applicants must be bicyclists or pedestrians residing in Sunnyvale. _c:::]_ Category Two: Applicants must have an interest in bicycle and/or pedestrian issues in the City, reside outside Sunnyvale and belong to one of the groups listed below. Please check as many that apply:
__ Parent Teacher Associations (PTA)/parent group member __ Administrations of schools in Sunnyvale
_ _ Commute coordinators for major employers within Sunnyvale __ Principals or teachers from Sunnyvale schools
If you are applying for the Human Relation s Commission, please identify the category for which you are applying:
..r:::J.. Category One: Applicants shall be Sunnyvale residents . ...D. Category Two: Applicants shall include representatives of a nonprofit seNice agency that serves Sunnyvale residents. Such members need not be Sunnyvale residents.
If you are applying for the Sustainability Commis sion, please identify the category for which you are applying.
J:::l. Category One: Applicants shall be Sunnyvale residents . ..r:::J.. Category Two: Applicants shall include members of the Sunnyvale business community ·. Such members need not be Sunnyvale residents .
• Sunnyvale business license holders, or designated representat ive of Sunnyvale businesses with 200 or more employees.
Applicant Name: Johnson Carmel A
Last First M.I.
Current Residence - f-------- ---'S;..:;u--n __ ny'-'v--ac.cle ______ C.:;.;A-'--_______ ..::.9--40::.:8:.;.7 __ _ Street City State Zip
E-mail Address:
Preferred Contact Phone Number(s): 11111111111111
Rev 312023
Attachment 3
1. Are you a currently-registered voter in Sunnyvale?
Yes [Tl No C:J
Applicant Name Carmel Johnson
V\/hen was the last time you voted?
Month ..... M,..a..,r ... c.,h ____ Year 2024
2. Are you currently serving or have you served on a City of Sunnyvale board or commission? Yes C:J No [?7
If yes, which one? Term currently serving
---------------------------- Term previously served
3. Prior attendance at a board or commission meeting is highly desirable . Have you attended meeting(s) of the board or commission for which you are applying?
Yes m No D
If yes, how many meetings have you attended?
I've attended a Planning Commission meeting ; I don't see the Personnel meetings on the public calendar , which seems NOTE: If you are applying for more than one board or commission, please reference the specific board or commission in your response to questions 4-7.
4. V\/hat motivated you to apply for this board or commission? I have lived in Sunnyvale for 12 years, I own a home here and my kids are in the local schools . I love our community and would like to do my part to keep it special and thriving. I have kept an active volunteering schedule for several years. and I have the bandwidth now to increase my volunteering commitments .
5. V\/hat skills or attributes can you bring to this board or commission? With regard to the Personnel board , I have a broad background in employment and HR related matters , including experience in plaintiff- and defense- side employment litigation ; agency staffing ; in-house recruitment at large tech companies ; and HR supervision and strategy in both the private and nonprofit sectors I know public sector work has its own special parameters and I am confident that I can come up to speed on those quickly.
With regard to the Planning commission , I have lived in Sunnyvale for 12 years, (plus 7 years in rv1ountain View prior to that) so I have an understanding of the issues affecting our community in terms of land use, traffic, schools , commercial use and so forth. I have served on a large (200+ family) HOA board, so I have some experience in considering the sometimes-conflicting priorities that come into play with community planning and administration .
Rev 3/2023 Page 2 of 15
Attachment 3
Applicant Name Carmel Johnson
6. The primary role of a board or commission member is to provide advice to City Council on policy issues that are within the scope of that board or commission . Wrth this in mind, what steps would you take to effectively exercise this specific board or commission role?
The first step is always to listen before offering input. That said , there are a few things I've learned over the years that I hope would be helpful to my service.
One thing I learned, while serving on the Arts commission in Berkeley years ago when I was in school there , was that it is important to physically see a location in order to have context for its discussion. So if I were to serve on the Planning Commission, my practice would be to drive by parcels and see them myself in the days before the relevant meeting.
And of course one needs to consider all the stakeholders , including those not yet involved in the discussion , and try to anticipate what effect one's decision might have in the near- , medium- and long-term future .
With regard to service on the Personnel commission , the main thing is to comply with the relevant law. California's employment law landscape is complicated with many pitfalls for employers. Beyond that, it's important to remember is that there are at least two sides , and often more than that, to consider in advising on any personal conflict , or even on organizational HR strategy. Everything has a flip side and even well meant efforts can be unwise if the flip side isn't considered. It is crucial to get a full picture of a situation before deciding what to do about it. (Thoughtful hiring is also an important element of keeping things harmonious in any workplace.)
7. Education: List college degrees and majors, and any relevant training or experience that demonstrates your ability to effectively serve on this board or commission.
B.S. UC Berkeley Conservation and Resource Studies (might be useful for Planning) J.D. UC Davis (included studies in environmental regulation, as well as torts, ADA and other workplace regulatory issues)
8. Briefly describe your current or last occupation.
After practicing law for a few years after law school , I started working as a legal headhunter , which led me into about a decade's full time work in staffing. I worked at a staffing agency ; then as an in-house recruiter at Google, Amazon and Pure Storage . I took several years "off" to take care of my family: during that time I volunteered extensively as a board member at my synagogue and the Homestead High School PTSA, and as an attorney at Senior Adults Legal
9. Briefly describe what you learned by attending a meeting of the City Council, board or commission . Describe what improvements you would suggest the City consider.
The Sunnyvale meetings I have at1ended have been well run and organized , with commissioners who seemed prepared and engaged. It might have been nice to have a few paper copies of the agenda available for walk-ins ; or at least have the url for the agenda displayed at the meeting to make it efficient for folks to follow along on their phones .
Rev. 3/2023 Page 3 of 15
Attachment 3
Applicant Name Carmel Johnson
10. Describe your involvement in community activities. volunteer and civic organizations.
As I mentioned above, I have until recently volunteered as a Board member for my 600+ family unit synagogue , and also as the Communications VP of my kid's high school PTSA. I've recently rotated off those boards although I continue to be involved in both organizations.
I have an ongoing volunteer role at Senior Adults Legal Assistance , which is a legal aid organizat ion offering legal services to Santa Clara County residents over the age of 60. This work means a lot to me: I get to serve a population of people I wouldn't otherwise meet, and to develop and maintain an understanding of the extremely dive rse populat ion of our county. I see issues of disability; poverty; mental illness (of self or of family members) ; physical troubles ; internat ional cultural factors ; neighbor relationships (sometimes wonderful, sometimes scary) ; homelessness ; family relationships (which range from beautiful to very difficult) ... I get to see and hear a lot. It helps me maintain perspective, and gives me an oppo rtunity to make a compassionate difference for people who really can use the help and attention.
11. The City has a Code of Ethics and Conduct for Elected and Appointed Officials and an Attendance Policy (7.2.19). 2.G.(II) that appointed members are required to follow. Do you have any concerns in these two areas? Yes c:J No [?J
If so, please describe .
12. If an unplanned vacancy arises on the board(s) or commission(s) you are interested in, would you be willing to accept a temporary appointment for the remainder of the unexpired term or until a recruitment is held and Council officially fills the vacancy?
Yes [?7 No CJ
IMPORTANT NOTICES - READ BEFORE SIGNING :
All information provided on this application becomes a public record after it is officially filed. This document will be published to the City websi te with the interview materials. Personal contact information will be redacted.
Applicants appointed to the Planning Commission, Arts Commission, Heritage Preservation Commiss ion and Housing and Human Services Commission are required to electronically file the Fair Political Practices Commission (FPPC) Statement of Economic Interests (Form 700), which is a public record. The Form 700 reports your economic interes ts and your spouse/domestic partner's economic interests (if applicable). A copy of this form is available in the Office of the City Clerk or by visiting www.fppc.ca.gov/Form700 .html Pursuant to the Americans with Disabilities Act (ADA). the City of Sunnyvale will make reasonab le efforts to accommodate persons with qualified disabilities during the boards and commission interview process. Should you require special accommodat ions, please contact the Office of the City Clerk via [email protected] or at 408-730-7 483 at least five days in advance of your scheduled interview.
I certify under penalty of perjury that all statements I have made on this application are true and correct. I hereby authorize the City of Sunnyvale to investigate the accuracy of this information from any person or organization, and I release the City of Sunnyvale and all persons and organizations from all claims and liabilities arising from such investigation or the supplying of information for such investigation. I acknowledge that any false statement or misrepresentation on this application or supplementary materials will be cause for refusal of appointment or immediate dismissal at any time during the period of my appointment.
Your application is not complete until it is signed and submitted to the Office of the City Clerk.
Complete all above fields, the Supple➔. tal_ ~ stipnnaire and Demographic Information prior to signing this document. Applying your digital signatur1 loc,!SS"the information you entered, preventing further edits.
Signature of Applicant Date ;¼ ~ 2--rv2:(
Pleas e return to: • Cler
email to cit clerk ov
., .0 . Box 3707, Sunn yvale , CA 94088-3707 or
Rev 3/2023 Page 4 of 15
Attachment 3
Applicant Name Carmel Johnson
Personnel Board
Additional eliqibilitv requirements for Personnel Board• Please check Yes or No for each question:
YES NO YES NO
I hold public office or
□ ~
I have a spouse , household member, or
□ ~ employment designated relative (parent , step-parent , I am a candidate for
□ ~
grandparent, child, sister, brother, niece,
another public office or nephew, uncle, or aunt of the individual position or of the individual's spouse), employed by
I am a former City
□ ~
the City of Sunnyvale in a position which
employee has the right to have a disciplinary matter
heard before the Personnel Board.
14. Please describe your experience and responsibilities in the administration of employee discipline .
As an attorney I worked on both plaintiff- and defense- side employment cases, which often had a disciplinary component of some kind (PIPs followed by terminations in some cases ; or terminations following investigations for sexual or other kinds of harassment.)
As a staffing manager, one of my responsibilities was to advise and counsel my placed candidates , both on temporary assignments and sometimes after they'd been placed somewhere permanently. I placed a lot of people , so although most of the assignments went well, there was still a lot of counseling needed. Some things were routine and easily solved, and some situations were ... "esoteric." (We saw or heard of everything from major hygiene problems to· memorably - a fistfight in the client's parking lot.) If things went south it was my responsibility to liaise with and to fire people.
As a recruiter at tech companies , I got a lot of insight into "behind the scenes" hiring and firing discussions . Sometimes it was because a job vacancy was created because of an adverse event for whomever had held the role previously, and in that case there was often consideration of how to get a better fit in the next hire. At Amazon, my primary responsibility was to hire senior HR managers , and my internal clients were very smart HR Directors, so I got to learn a lot about how senior HR professionals think about protecting their companies. I also interviewed hundreds of candidates about their work, and learned a lot from them.
During my term as a Director at my synagogue , I had to counsel , hire, PIP and fire synagogue employees . Disciplinary action was delicate in these cases as all the employees were congregation members as well. 15 Please describe your experience and responsibilities in the administration of employee grievances .
I've worked plaintiff-side employment cases, including for sex based discrimination and disability based discrimination.
I've also helped clients with work other than litigation, for instance helping them through the disability accommodation request process.
Curiously, when I was a recruiter, I would occasionally find myself a sounding board for an employee that I had hired, who was having issues later on and wanted to talk to me as a sympathetic ear before bringing it up to their manager (I was surprised at how often this happened ; it was an unofficial, but quite real part of the job.) In most of these cases I was able to provide friendly counseling and the issues did not turn into official grievances.
Rev 3/2023 Page 12 of 15
Attachment 3
Applicant Name Carmel Johnson
Planning Commission
16. I understand that if I am appointed to Planning Commission. I will be required to electronically file the Fair Political Practices Commission (FPPC) Statement of Economic Interests (Form 700) that reports my economic interests and my spouse/domestic partner 's economic interests (if applicable) , which is a public record? Yes rn No D
A copy of this form is available by visiting www.fppc.ca.gov/Form700.html
17. Sunnyvale has limited vacant land for new development. This could increase pressure for redevelopment of existing developed areas. How can planning respond to this situation? Planning has to consider all aspects of quality of life of Sunnyvale's residents , including availability of commercial services ; ease of traffic and transport ; road and building safety ; availability of services like schools and healthcare facilities; pollution of air. water and ground ; uninterrupted utilities ; residential and commerical property values ; future city demographics ; affordability of rents; and on and on. It seems to me that working with a checklist - probably one that is always growing to include new elements - is necessary in order to not overlook anything. I am also a big believer in data driven decision making: when considering an action whose effects are unknown , it makes sense to check whether similar projects have been done here or in neighboring cities, and use the known history to guide us. (Identifying sources of useful information about past projects is always worthwhile ; so much information can be lost just by simple human turnover.) It is important to consider all segments of the community and not just the loudest or most influential ones.
18. Planning Commissioners are often asked to consider social , economic and environmental issues when reviewing proposals. How does one achieve a balanced community?
There are always "upsides" and "downsides" to any project. In general , the city ought to be guided by a principle of making sure that downsides are minimized and benefits are maximized for the city's residents over the long term. Lots of things sound good in theory. It's important to ask "then what?" . Is the benefit sustainable , or is it short term? Does it benefit a small number of people, or many of them? If there are downsides , are they finite, or is there a potential for lasting harm? It's also crucial to ask "who gets hurt?" and "what would happen if we don't do this?" Decision making becomes much easier when one has a defined principle or "mission statement" to guide it. It seems to me that a good principle to guide the commission's decision making would be "always work to improve or maintain quality of life for Sunnyvale residents, never degrade it."
Rev 3/2023 Page 13 of 15
Attachment 3
Applicant Name Carmel Johnson
Demographic Information
• This voluntar,, Demographic Information is public information This information will help Council meet its goal of ensuring that the Human Relations Commission as well as other boards and commissions reflects the demographic diversity of Sunnyvale residents.
Age:
D Under 18
0 18-44
0 45-64
0 65+
0 Prefer Not to Answer
Gender:
0 Female
D Male
D Non-binar,,/Non-conformmg
D Transgender
D Prefer Not to Answer
D Not Listed:
Do you identify as LGBTQIA+ :
□ Yes
0 No
0 Prefer Not to Answer
Race/Ethnicity: select all that apply.
□ White
D Black/African-American
D Asian
0 Hispanic-Latinx/o/a/e
D Native American/Indigenous
D Native Hawaiian or Pacific Islander
0 Prefer Not to Answer
D Not Listed:
Do you speak a language other than English? If yes, please share Household Income:
0 <$161 ,670 (median household income)
0 $161,670+
0 Prefer Not to Answer
Are you a:
D Renter
0 Homeowner
D Both (mobile homeowner)
D Prefer Not to Answer
□ Not Listed:
Do you live in a:
D ApartmenUCondo
D Single Family Home
D Mobile Home
0 Prefer Not to Answer
D Not Listed:
Any other identities that you would like us to know about? Rev. 3/2023 Page 15 of 15
Attachment 3
~'~ a..;;:: ::..
,w
Sunnyvale
City of Sunnyvale
Incumbent Board and Commission Member
Request for Reappointment Consideration
Only incumbents seeking reappointment lo the same boardt:amrrissbn may use tlis fam Please print or type answers to all questions. Write NIA if not applicable.
Office Use Only
Date Received: 4/20/24
Voter registration verified:
On: _ ____ _ _
By:
Please accept my request to be reappointed to: . Human Relations Commission ~~~~ ~~~~ ~~~~ ~------------- Applicant Name: R __ a_m_is_e_tty,.___ _________________ V_e_n_ka_t_a_S_iv_a __________ _ Last First M.I.
Current Residence Sunn ale CA 94087 -----=-=..:...:.:..:..1..:=:..::'------~-------~='---- C i ty State Zip
E-mail Address:
Preferred Contact Phone Number(s):
1. Are you a currently-registered voter in Sunnyvale? When was the last time you voted? Yes r::J No _[Z]_
2. Length served on current
board/commission?
Month Select
1 ear
3. Have you served previously on other City boards or commissions? Yes D No _GZJ_
If yes, which one? Term currently serving -------------- Year
Term previously served --------------
4. New information about my qualifications that I would like Council to know:
At school, I have been fortunate to gain new leadership positions as the President of my school's California Scholarship Federation and HOSA (Medical) dubs . I have also have improved my leadership experience by attending conferences like the Student Advisory Board on Education in Sacramento. I have been selected as a finalist for the position of the student member of the Board of Education for the State of California. I have also joined the Los Altos Foundation, a student run policy think tank, as a fellow on health policy. I have also gained aa lot experience through serving as the Chair of the Human Relations Commission for the past year.
Rev. 3/2023
Attachment 3
Applicant NameVenkata Siva Ramisetty
5. Reasons I wish to be reappo inted:
Primarily , I want to continue to have impact on my community and improve the situation of equity in Sunnyvale. So far, I have only been through the training phase of the comission and would love to continue and start organizing impactful events . I would like to continue as it is an opportuni ty to build myself as a student in government and continue to learn as much as I can by serving for Sunnyvale through this commission. So far, it has been an excellent learnning experience and I would like to continue to apply the learning. Also, I have built great relationships with the rest of commission and want to continue working with them.
6. Additional Information:
IMPORTANT NOTICES - READ BEFORE SIGNING :
All information provided on this applicat ion becomes a public record after it is officially filed. This document will be published to the City website with the interview materials. Personal contact information will be redacted.
Applicants appointed to the Planning Commission, Arts Commission , Heritage Preservation Commission and Housing and Human Services Commission are required to electronically file the Fair Political Practices Commission (FPPC) Statement of Economic Interests (Form 700), which is a public record. The Form 700 reports your economic interests and your spouse/domestic partner's econom ic interests (if applicable). A copy of this form is available in the Office of the City Clerk or by visiting www.fppc.ca.gov/Form700.html Pursuant to the Americans with Disabilities Act (ADA), the City of Sunnyvale will make reasonable efforts to accommodate persons with qualified disabilit ies during the boards and commission interview process. Should you require special accommodations , please contact the Office of the City Clerk via [email protected] or at 408-730-7483 at least five days in advance of your scheduled interview .
I certify under penalty of perjury that all statements I have made on this application are true and correct. I hereby authorize the City of Sunnyvale to investigate the accuracy of this information from any person or organization , and I release the City of Sunnyvale and all persons and organizations from all claims and liabilities arising from such investigation or the supplying of information for such investigation. I acknowledge that any false statement or misrepresentation on this application or supplementary materials will be cause for refusal of appointment or immediate dismissal at any time during the period of my appointment.
Your application is not complete until it is signed and submitted to the Office of the City Clerk.
Signalu1e of Applicant Q -v~ ~ Date _04_1_20_1_2_02_4 ____ _ Applying your digital signature locks the information you entered on this application, preventing further edits.
Please return to: Office of the City Clerk, 456 W. Olive Ave., P.O. Box 3707, Sunnyvale, CA 94088-3707 or email to [email protected]
Rev. 3/2023 Page 2 of 3
Attachment 3
Applicant Name Venkata Siva Ramisetty
Demographic Information
** This voluntary Demograph ic Information is public information ** This information will help Council meet its goal of ensuring that the Human Relations Commission as well as other boards and commissions reflects the demographic diversity of Sunnyvale residents.
Age:
IZI Under 18
□ 18-44
□ 45-64
□ 65+
D Prefer Not to Answer
Gender:
D Female
IZI Male
D Non-binary/Non-conforming
D Transgender
D Prefer Not to Answer
D Not Listed:
Do you Identify as LGBTQIA+ :
D Yes
IZI No
D Prefer Not to Answer
Race/Ethnicity: select all that apply.
□ White
D Black/African-American
IZI Asian
D Hispanic-Latinx/o/a/e
D Native American/Indigenous
D Native Hawaiian or Pacific Islander
D Prefer Not to Answer
D Not Listed:
Do you speak a language other than English? If yes, please share Household Income:
IZI <$161,670 (median household income)
□ $161,670+
D Prefer Not to Answer
Are you a:
IZI Renter
D Homeowner
D Both (mobile homeowner)
D Prefer Not to Answer
□ Not Listed:
Do you live in a:
IZI Apartment/Condo
D Single Family Home
D Mobile Home
D Prefer Not to Answer
D Not Listed:
Any other identities that you would like us to know about? Rev. 3/2023 Page 3 of 3
Attachment 3
~,,,~
-...;: ::;.,ia
_,
Sunnyvale
City of Sunnyvale
Incumbent Board and Commi ssion Member
Requ est for Reappointm ent Consideration
Only fncl6nOOnlS ISOOldrig reappointment to U,e Mm6 bootdloomrnlUlon moy u• ~ lcxm Please print or type answers to all questions. Write NIA if not applicable. ~~~ 4/23/24
Voe., '"Ullllatlon ~
0n 4/25/24
By. MH
Please accept my request to be reappointed to. .1,Bo~a.ur.Md-loLlf_.L ... jb ...... ra ... ry..._J._.r_..u..,.Swte .... e .... s..__ ___________ ___ _ Applicant Name: Juttukonda Meena Kuman
Last First M.I
Current Residence ~ sunnyvale CA 94087 ~ l------ ~C!!..!ity~~ ------! :::!.:!...S-ta-te _____ --=-..:-:::Zl:=-.:p'---- E-mail Address
Preferred Contact Phone Number(s): -
1. Are you a currently-registered voter in Sunnyvale? When was the last time you voted? Yes C?J No D
Month March Year 2024
2. length served on current
board/commission? March 2023- June 2024 - 15 months- 1 year 3 months
3. Have you served previously on other City boards or commissions? Yes D No m
If yes, which one? _ ________ ____ TermcurrenUy serving _ ________ ____ Term previously served
4. New information about rrtf qualificabons that I would like Council to know:
Rev. 3/2023
-------------------
Attachment 3
Applicant Name Meena Juttukonda
5• Reasons I wish to be reappointed: . .
As my current term on the library commission nears its end, I am writing to express my strong desire l<;> be reappointed to continue serving our community in this capacity. Over the past term. 1 have witness~ firsthand the invaluable role lhat our library plays in enriching the lives of residents in Our Community From providing access 10 knowledge an~ ·ty resources to fostering a sense or community and belonging, our library serves as !-1 b~a-~n. of learning an~col~~~to vi for People of all ages and backgrounds. I am particularly excited about the upco_m!ng irntiatives, suer a\ ~ build a new library at Lakewood Sunnyvale and the potential renovation or rebuilding of the current ~a on;,ib es~ h b projects present unique opportunities to further enhance our library's offerings and ensure that it rema ns a ran u for learning. creativity, and cultural exchange for generations to come.
H · • 1 t m I am deeply committed to advocating for the av1ng been actively involved in the commission during my curre~ er ' 1 d thrive in response to the changing best interests of our community and ensuring that our library continues to_evo ve an rvi 8 I am confident needs of our residents. With my experience, passion for literacy: and d~1catlon to commun ity 68 c • that I can continue to contribute meaningfully to the commission s mission and objectives.
I am grateful tor the opportunity to have served on the library commission thus far, and I am eager to ~ntin~e i w~rki_ng alongside fellow commissioners, library staff, and commu~i~ members to uphold the vision of a dynam c an nc usive librarv svstem that enriches the lives of all who enaaae with 1t.
6. Additional Information:
I serve as the Vice chair on the the library Commision
IMPORTANT NOTICES - READ BEFORE SIGNING:
All information provided on this application becomes a public record after it is officially filed. This document will be published to the City website with the interview materials. Personal contact information will be redacted.
Applicants appointed to the Planning Commission, Arts Commission, Heritage Preservation Commi ssion and Housing and Human Services Commission are required to electronically file the Fair Political Practices Commission (FPPC) Statement of Economic Interests (Form 700), which is a public record. The Form 700 reports your economic interests and your spouse/domestic partner's economic interests {if applicable). A copy of this form is available in the Office of the City Clerk or by visiting www.fppc.ca.gov/Form700.html Pursuant to the Americans with Disabilities Act {ADA), the City of Sunnyvale will make reasonable efforts to accommodate persons with qualified disabilities during the boards and commission interview process. Should you require special accommodations, please contact the Office of the City Clerk via [email protected] or at 408-730-7483 at least five days in advance of your scheduled interview.
I certify under penalty of perjury that all statements I have made on this application are true and correct. I hereby authorize the City of Sunnyvale to investigate the accuracy of this information from any person or organization, and I release the City of Sunnyvale and all persons and organizations from all claims and liabilities arising from such investigation or the supplying of information for such investigation. I acknowledge that any false statement or misrepresentation on this application or supplementary materials will be cause for refusal of appointment or immediate dismissal at any time during the period of my appointment
Your application is not complete until it is signed nd submitted to the Office of the City Clerk.
Signature of Applicant Date 4/23/2024
Applying your digital signature locks the informa ·o u entered on this application , preventing furth er edits.
Please return to: Office of the City Clerk, 456 W. Olive Ave., P.O. Box 3707, Sunnyvale, CA 94088-3707 or email to cityclerk@sunnyvale .ca.gov
Rev. 3/2023 Page 2 of 3
Attachment 3
Applicant Name Meena Juttukonda
Demographic Information
•• This voluntary Demographic Information Is public information •· This information will help Council meet its goal of ensuring that the Human Relations Commission as well as other boards and commissions reflects the demographic diversity of Sunnyvale residents.
Age:
0 Under 18
0 18-44
0 45-64
0 65+
0 Prefer Not to Answer
Gender:
0 Female
0 Male
0 Non-binary/Non-conforming
0 Transgender
D Prefer Not to Answer
0 Not listed :
Do you identify as LGBTQIA+ :
0 Yes
0 No
0 Prefer Not to Answer
Race/Ethn icity: select all that apply.
0 VVh1te
0 Black/Ahican-Amencan
0 Asian
0 Hispanic-Latinx/o/a/e
0 Native Americanllnd,genous
D Native Hawauan or Pacmc Islander
0 Prefer Not to Answer
0 Not Listed:
Do you speak a language oth er than English? If yes, please share TeluQu,Hindi,Tamil Household Income:
D <$161.670 (median household income)
0 $161,670+
D Prefer Not to An er
Are you a:
0 Renter
0 Homeowner
0 Both (mobile homeowner)
0 Prefer Not to Answer
D Not listed :
Do you live in a:
0 Apartment/Condo
0 Single Family Home
0 Mobile Home
0 Prefer Not to Answer
0 Not listed :
Any other identities that you would like us to know about ? Rev 312023
-
Attachment 3
CITY OF SUNNYVALE
BOARDS AND COMMISSIONS APPLICATION
The City supp s its demographic diversity and encourages a plicants from all groups to apply.
Please print or type nswers to all questions. Write N/A if not applicable.
Office Use Only
Date Received: 4/21/24
Voter registration verified:
On: 4/26/24
General eligibility requirements: Sunnyvale r sidency. Other requirements may apply to specific boards and commissions.
For more information, contact the Office of e City Clerk via [email protected] or at 408-730-7483 or visit the City website at SUnnyvale.ca.gov and search "B ards and Commission" If you would like to apply for more than on vacancy,
place a number next to the board or com lssion, in order of your preference, for which you would Ii e to apply.
Only applications for current openings will be nsidered at this time. Applications for future openings will be kept on file for one year. Qualified applicants will be cont cted for an interview with City Council. Appointments will be made at a regular meeting of the City Council.
Arts Commission
_ 2_ Bicycle and Pedestrian Advisory Commission
__ Board of Library Trustees·
__ Heritage Preservation Commission·
__ Housing and Human Services Commission
Human Relations Commission
-1- Parks and Recreation Commission·
Personnel Board·
_ _ Planning Commission'
__ Sustainabirrty Commission
'Registered Sunnyvale voter
If you are applying for the Bicycle and Pede rlan Advisory Commission please identify the category for which you are applying .
..CJ... Category One: Applicants must be bic clists or pedestrians residing in Sunnyvale.
JZl. Category Two: Applicants must have n interest in bicyde and/or pedestrian issues in the City, reside outside Sunnyvale and belong to one of the groups Ii ted below. Please chec'k as many that apply:
~ Parent Teacher Assoc ations (PTA)/parent group member .D_ Administrations of sch Is in Sunnyvale
.c:1 Commute coordinate for major employers within Sunnyvale .r:::J.. Principals or teachers om Sunnyvale schools
If you are applying for the Human Relations Commission. please identify the category for which you are applying:
.r:::L Category One: Applicants sh!
1 II be Sunnyvale residents .
.r:::L Category Two: Applicants sh I include representatives of a nonprofit service agency that serves Sunnyvale residents. Such members need not e Sunnyvale residents.
If you are applying for the Sustainabilltv Co mission please identify the categcxy for which you are applying . ...c:J.. Category One: Applicants sh II be Sunnyvale residents . ..c:::J. Category Two: Applicants sh II include members of the Sunnyvale business community'. Such members need not be Sunnyvale residents.
"SUnl'l'jVale business Ii ense holders; or designated representative d StR'lnyvsle businesses with 200 or more emplCJ'/ees.
Applicant Name: Gollakota Geeta
Last First M.I.
Current Residence ~ - - ------=S=u=n.:..:.nw.L..a..:a=le"-___ _ C==....,A'--______ ..,,94~0c::86=--- - Street City State Zip
E-mail Address:
Preferred Contact Phone Number(s):
Rev. 3/2023
Attachment 3
1. Are you a currently-registered voter in Su nyvale?
Applicant Name Geeta Gollakota
When was the last time you voted?
Yes [?J No C7
Month March l=J Year 2024 ------
2. Are you currently serving or have you se ed on a City of Sunnyvale board or commission? Yes C7 No [?J
If yes, which one? ---------+ ------ Term currently serving ---------+------ Term previously served
3. Prior attendance at a board or commissi n meeting is highly desirable. Have you attended meeting(s) of the board or commission for which you are applying?
Yes c::J No r:rJ
If yes, how many meetings have yo attended?
NOTE: If you are applying for more than ne board or commission, please reference the specific board or commission in your response to questia s 4-7.
4. What motivated you to apply for this boar or commission? Parks and Recreation: I am a parent of neurodivergent child. And one of the common challenges parents encounter is the support for these children in Sunnyv le Recreational Services offerings. While our City does a great job currently in being inclusive, I can attest from person I experience with many offerings we have tried, many parents are still struggling when there are moderate sup art needs. I wish to provide input from this angle to this board.
Also, my other area of interest is to expl re how many Sunnyvale Recreation Services offerings could be expanded to local public schools most of which are tit e 1 and have many low income families as well as families that rely on single car and transportation is challenge to try any enrichment opportunities. Many PTAs are not able to raise the monies needed to be able to facilitate low cost o erings in schools. I see a need here, and wish to find is there exist any ways we could find opportunities to work with he Sunnyvale School District and other school districts that have schools within the Sunnyvale City borders that could h Ip many kids residing in the City of Sunnyvale.
Bicycle and Pedestrain Safety: I am a p rent of an Ellis Kindergartener . The bike and pedestrain safety is severely at risk after this new construction of the Elli Buildings. Bishop, San Miguel, Vargas, Lakewood, are all facing challenges with traffic during drop offs and pick ups I would like to help find solutions that could mitigate kid safety during these peak hours.
5. What skills or attributes can you bring to his board or commission? Parks and Recreation: I have been doin several small scale as well as grade level INCLUSIVE playdates for kids in my school for 2-3 yrs now and understa d the elements of regulation, connection and play. I am a member of CAC SELPA II, bringing in several new initiati es to the schools in terms of abilities awareness , sensory regulation, and gestalt language processing. I volunteer for Autism Acceptance month and have been part of large support networks for neurodivergent families.
Bike and Pedestrain Safety: We are wit in walking and biking distance to the school and I see my child using his bike regualrly to get to school. Our principal nd PTA is frustrated with the lack of solutions to such an important problem. I see similar frustrations building in other chools. San Miguel apparently saw 6 accidents in the last 6 months. Some SNAIL projects seem to mitigate the ch llenges at San Miguel and Lakewood neighborhoods, there is more that needs to be done for other schools in the area. I am not knowledgeable of what kinds of solutions exist out there in areas with high density, but am willing to explore m re and help find smarter solutions .
Rev. 3/2023 Page 2 of 15
Attachment 3
Applicant Name Geeta Gollakota
6. The primary role of a board or commission member is to provide advice to City Council on policy issues that are within the scope of that board or commission. With this n mind, what steps would you take to effectively exercise this specific board or commission role?
Parks and Recreation : I hope to provide ore input on sensory regulation strategies and work with our School district Occupational Therapists and the Local O cupational therapists on how to design the recreational center offerings that could benefit greater number of children. rith ADHD and Autism detection on the rise with 1 in 32 kids now affected, we need to build our Recreational Services o erings to cater to serve this section more widely.
Bike and Pedestrain Safety: I am persona ly connected with the PT As and PT A presidents of all the mentioned schools and am an active member of Sunnyvale quity in Eductaion and Sunnyvale Eductaion Foundation. I attend most of our school board meetings and Coffee with P incipals. I can reach out personally to anybody needed to seek out ideas and work together to find solutions that could elp alleviate the morning drop off and pick up safety concerns of our children.
7. Education: List college degrees and major , and any relevant training or experience that demonstrates your ability to effectively serve on this board or commissio .
I have a Masters in Information Systems nd worked in the field of Business Intelligence. But my recent foray in to the Neurodiverse world due to my own kid's j urney and my networking with the greater active members invested in the field of education and schools on a numb r affronts help me gain perspective and greater understanding of the problems.
8. Briefly describe your current or last occup tion.
My last earning role was as a Senior Busi ess Intelligence developer in 2012. For the past year, I am invoved more deeply in the SEE, SEF and Ellis PTA ac vities along with CAC SELPA II working with Special needs causes. I also took a Parents Helping Parents Special eeds Advocacy course.
9. Briefly describe what you learned by atten ing a meeting of the City Council. board or commission. Describe what improvements you would suggest the City sider.
I am yet to attend one. Currently, our schiols in the City are Basic aid funded. The schools still have challenges with respect to school buses. after school avai'labilty, support for special needs, Bike and pedestrain safety etc.
I feel the City could do more to help ours hools and kids given we are in the heart of Silicon Valley where the brightest and greatest work, we should be able to rovide resources to the kids that are raised here also to become significantly contributing workforce.
Rev. 3/2023 Page 3 of 15
Attachment 3
Applicant Name Geeta Gollakota
10. Describe your involvement in community activities, volunteer and civic organizations.
I volunteer extensively at my son's sch ol. I led a team of 7 volunteers for Measure C material distribution. I ran for the President of Ellis PTA. I raised over $7 in money for our school during our recent walk-a-than working with several Businesses in the area. I also grouped ogether over 100 families at Ellis to raise awareness on anumber of issues at the school, our school district, and the ity. I am an active contributor in the Special Needs circles in the Bay area organizing playdates, providing knowle ge and support. I work with the Special ed department to bring in new and research based strategies and training o our school. I reach out to other districts in the area to bring in Abilities Awarareness worKshops, Spanish versl n of Project Cornerstone lessons, reach out to the local adult schools to facilitate arranging of ESL classes for n w comer families. I worked on the nomination committee at Ellis PTA to provide a diverse slate of candidates for their n w board.
11. The City has a Code of Ethics and Con uct for Elected and A ointed Officials and an Attendance Policy (7 .2.19). 2.G.(11) that appointed members are required to fol ow. Do you have any concerns in these two areas? Yes D No m
If so, please describe.
12. If an unplanned vacancy arises on the b ard(s) or commission(s) you are interested in, would you be willing to accept a temporary appointment for the remainder of he unexpired term or until a recruitment is held and Council officially fills the vacancy?
Yes [?J No CJ
IMPORTANT NOTICES - READ BEFORE SIGNING:
All information provided on this application ecomes a public record after it is officially filed. This document will be published to the City website with the interv ew materials. Personal contact information will be redacted.
Applicants appointed to the Planning Com ission, Arts Commission , Heritage Preservation Commission and Housing and Human Services Commlssl n are required to electronically file the Fair Political Practices Commission (FPPC) Statement of Economic Interests ( rm 700), which is a public record. The Form 700 reports your economic interests and your spouse/domestic partners economic interests (if applicable). A copy of this form is available in the Office of the City Clerk or by visiting www.f c.ca. ov/Form700.html Pursuant to the Americans with Disabilities ct (ADA), the City of Sunnyvale will make reasonable efforts to accommodate persons with qualified disabi ities during the boards and commission interview process. Should you require special accommodations, please co tact the Office of the City Clerk via [email protected] or at 408-730-7483 at least five days in advance of your scheduled interview.
I certify under penalty of perjury that all state ents I have made on this application are true and correct. I hereby authorize the City of Sunnyvale to investigate the accu acy of this information from any person or organization, and I release the City of Sunnyvale and all persons and organizati ns from all claims and liabilities arising from such investigation or the supplying of information for such investigatio . I acknowledge that any false statement or misrepresentation on this application or supplementary materials will b cause for refusal of appointment or immediate dismissal at any time during the period of my appointment.
Your application is not complete until it i signed and submitted to the Office of the City Clerk.
Complete all above fields, the Supplem ntal Questionnaire and Demographic Information prior to signing this document. Applying your digital signatur locks the information you entered, preventing further edits.
Signature of Applicant
0....
Please return to: Office of the City Clerk, 456 W. Olive Ave., P.O. Box 3707, Sunnyvale, CA 94088-3707 or email to [email protected]
Rev. 3/2023 Page 4 of 15
Attachment 3
Applicant Name Geeta Gollakota
Bic cle and Pedestrian Adviso Comm ssion
We are looking for someone who has in erest in bicycle and pedestrian issues
3. Like many cities in Santa Clara Co nty, Sunnyvale is faced with problems stemming from traffic congestion and air pollution. Suggest ways the City can imp ove facilities for bicyclists and pedestrians and improve education and safety programs for motorists, bicyclists and pede trians?
More bike crossing and pedestrain cro sing signs with lights, speed breakers, bumpers could exist. Some streets could become one way only during school h urs.
There are many more mitigation ideas hat could be tailored to each individual school setting.
Rev. 3/2023 Page 6 of 15
Attachment 3
Applicant Name Geeta Gollakota
Park and Recreation Commission
We are looking for someone who has lnte st in open space and recreational activities
13. Community demographics are constan ,ly changing. What do you think are the principal issues this Commission may be addressing over the next few years?
Sensory regulation should become intrinsi in the activities offered to help make the offerings more inclusive.
Other ND trained support should be availa le for offerings like Fun on the Run.
Bi-Lingual instructors should become mar available for many activities.
More activities should become available e en within the school grounds as after school offerings to serve kids where the need exists.
More scholarships and low cost offerings ould exist for making the offerings affordable for many families.
Rev. 3/2023 Page 11 of 15
Attachment 3
Applicant Name Geeta Gollakota
Demographic Information
** This volunta Demographic Information is public information ** This information will help Council meet it goal of ensuring that the Human Relations Commission as well as other boards and commissions reflects t e demographic diversity of Sunnyvale residents.
Age:
0 Under 18
0 18-44
0 45-64
0 65+
0 Prefer Not to Answer
Gender:
0 Female
O Male
0 Non-binary/Non-conforming
0 Transgender
0 Prefer Not to Answer
D Not Listed:
Do you identify as LGBTQIA+ :
0 Yes
0 No
0 Prefer Not to Answer
Race/Ethnicity: select all that apply.
0 White
0 Black/African-American
0 Asian
0 Hispanic-Latinx/o/a/e
D Native American/Indigenous
D Native Hawaiian or Pacific Islander
0 Prefer Not to Answer
D Not Listed:
Do you speak a language other than Engl sh? If yes, please share TeluQu, Hindi Household Income:
D <$161,670 {median household inco e)
0 $161,670+
D Prefer Not to Answer
Are you a:
D Renter
0 Homeowner
O Both (mobile homeowner)
D Prefer Not to Answer
D Not Listed:
Do you llve in a:
D Apartment/Condo
0 Single Family Home
D Mobile Home
O Prefer Not to Answer
D Not Listed:
Any other Identities that you would llke u to know about? Rev. 3/2023 Page 15 of 15
Attachment 3
English translation of Spanish responses attached
CITY OF SUNNYVALE
BOARDS AND COMMISSIONS APPLICATION
Office Use Only 4125124 Date Received: __ _
The City supports its demographic diversity and encourages applicants from all groups to apply.
Voter reglstratlon verified:
Sunnyvale
On: _____ _
By:
Please print or type answers to all questions. Write N/A if not applicable.
General eligibility requirements: Sunnyvale residency. Other requirements may apply to specific boards and commissions.
For more information, contact the Office of the City Clerk via [email protected] or at 408-730-7 483 or visit the City website at Sunnyvale.ca.gov and search "Boards and Commission" Arts Commission
If you would like to apply for more than one vacancy,
place a number next to the board or commission, in order of your preference, for which you would like to apply.
__ Bicycle and Pedestrian Advisory Commission
__ Board of Library Trustees·
Only applications for current openings will be considered at this time. Applications for future openings will be kept on file for one year. Qualified appllcants will be contacted for an Interview with City Council. Appointments will be made at a regular meeting of the City Council.
__ Heritage Preservation Commission'
Housing and Human Services Commission
~ Human Relations Commission
__ Parks and Recreation Commission·
Personnel Board'
__ Planning Commission'
__ Sustainability Commission
'Registered Sunnyvale voter
If you are applying for the Bicycle and Pedestrian Advisory Commission, please identify the category for which you are appJylng.
J J Category One: Applicants must be bicyclists or pedestrians residing in Sunnyvale . .rIJ.. Category Two: Applicants must have an interest in bicycle and/or pedestrian Issues in the City, reside outside Sunnyvale and belong to one of the groups listed below. Please check as many that apply:
__ Parent Teacher Associations (PT A)/parent group member __ Administrations of schools In Sunnyvale
__ Commute coordinators for major employers within Sunnyvale __ Principals or teachers from Sunnyvale schools
Category One: Applicants shall be Sunnyvale residents.
If you ari ]lyi ng for the Human Relations Commission, please identify the category for which you are applying:
Category Two: Applicants shall include representatives of a nonprofit service agency that serves Sunnyvale residents. Such members need not be Sunnyvale residents.
If you are applying for the Sustainability Commission, please identify the category for which you are applying . ..D.. Category One: Applicants shall be Sunnyvale residents . .r:::::::1 Category Two: Applicants shall Include members of lhe Sunnyvale business community' . Such members need not be Sunnyvale residents.
• Sunnyvale business license holders; or designated representative of Sunnyvale businesses with 200 or more employees.
Applicant Name: _' A
1 0\l0\.
Last M.I.
Current Residence
State Zip
E-mail Address:
Preferred Contact Phone Number(s):
Rev. 3/2023
Attachment 3
Applicant Name _________ _
1. Are you a currentlrri:s tered voter in Sunnyvale?
Yes C7 No
When was the last time you voted?
Month Select Year __ _
2. Are you currently serving or have you served on a City of Sunnyvale board or commission? Yes C7 No J::sj'[
If yes, which one? _______________ Term currently serving Term previously served ---------------
3. Prior attendance at a board or commission meeting is highly desirable. Have you attended meeting(s) of the board or commission for which you are applying?
Yes C7 No _cso_
If yes, how many meetings have you attended?
NOTE: If you are applying for more than one board or commission, please reference the specific board or commission In your response to questions 4-7.
4. What motivated you to apply for this board or commission? ~e ¥Yb~"'°' h c,,b ,0\1 GOY\ \,n \.r\e. r o-.10t 0\ ~J0t1 b c.ov-. SU-S 'Aece,~1 cl~-~ \.btfOl SO\b0f CCIIV\O CJI ro~ \O\r ~o,\--.>c,tO'Y\ e_ \
5. What skills or attributes can you bring to this board or commission? ~u~0\o o.~i~< G:>1\f 100 '\~~ 1 °r" ~y1d010\, c0t p0\01·0\oic( 4' ho-n e& holC>\.0 J Rev. 3/2023
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Attachment 3
Applicant Name ____ ____ _ _
6. The primary role of a board or commission member is to provide advice to City Council on policy issues that are within the scope of that board or commission. With this in mind, what steps would you take to effectively exercise this specific board or commiss ion role?
C?'i-cL'Cbt c;.;C\\ei> Ser" \ c:-t'.) 6'~') en ~ 1c\°'J C'/ ckricr~oi P°'"O\ i~ ,.., \""'.(.)\,,. AAf\<>JA \c,,,:( )~l~) \'.)V ,)c.£,1 'f - "II \./ tr _, I f c>'\"\ llwon b ~ °' \ °' f'' ~ J, cc1 \k7 ~ \e,, Iv' I Y'f'\:YV'\ ¾_> ·
7. Education: List college degrees and majors, and any relevant training or experience that demonstrates your ability to effectively serve on this board or commission.
_, p~(C>-\ \-o {IC)
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~ Y.J1vc,1'&:,,,~ c.,.v,:-~o ~ c\e... l ,Jer0ta..3d
8. Briefly describe your current or last occupation.
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9. Briefly describe wha t you learned by attending a meeting of the City Council, board or commission. Describe what improvements you would suggest the City considec
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Rev. 3/2023 Page 3 of 15
Attachment 3
11. The City has a Code of Ethics and Conduct. for Elected and Appointed Officia ls and an Attendance Policy (7.2.19). 2.G.(11) that appointed members are required to follow. Do you have any concerns in these two areas? Yes C) No JSJ_
If so, please describe. / •
12. If an unplanned vacancy arises on the board(s) or commission(s) you are interested in, would you be willing to accept a temporary appointment for the remainder of the unexpired term or until a recruitment is held and Council officially fills the vacancy?
Yes~No C7
IMPORT AN; ~OTICES - READ BEFORE SIGNING:
All information provided on this application becomes a public record after it is officially filed. This document will be published to the City website with the interview materials. Personal contact information will be redacted.
Applicants appointed to the Planning Commission, Arts Commission, Heritage Preservation Commission and Hous ing and Human Services Commission are required to electronically file the Fair Political Practices Commission (FPPC) Statement of Economic Interests (Form 700), which is a public record. The Form 700 reports your economic interests and your spouse/domes tic partner's economic interests (if applicable). A copy of this form is available in the Office of the City Clerk or by visiting www.fppc.ca .gov/Form700.html Pursuan t to the Americans with Disabilities Act (ADA), the City of Sunnyvale will make reasona ble efforts to accommodate persons wilh qualified disabilities during the boards and commiss ion interview process. Should you require special accommodatio ns, please contact the Office of the City Clerk via cityclerk@sunnyva le.ca.gov or at 408-730-7483 at least five days in advance of your scheduled interview.
I certify under penalty of perjury that all statements I have made on this application are true and correct. I hereby authorize the City of Sunnyvale to investigate the accuracy of this infonnation from any person or organization, and I release the City of Sunnyvale and all persons and organizations from all claims and liabilities arising from such investigation or the supplying of information for such investigation. I acknowledge that any false statement or misrepresentation on this application or supplementary materials will be cause for refusal of appointment or immediate dismissal at any time during the period of my appointmen t.
Your application Is not complete until it is signed and submitted to the Office of the City Clerk.
Complete all above fields, the Supplemental Questionnaire and Demographic Information prior to signing this document. Applying your digital signature lo the infor tion you entered, preventing further edits.
Signature of Applicant Date Lt I 'J..5 / ?-L\-:·
Please return to: Office of the xe, P.O. Box 3707, Sunnyvale , CA 94088-3707 or email to cityclerk@sunnyva le. ~
Rev. 3/2023 Page 4 of 15
Attachment 3
Applicant Name ---------
Human Relations Commission
We ~r1~ loot_king for someone with community-level experience on issues related to equity access inclus·ion and soc1a JUS ice ' , ,
11. What do you think are major equity challenges facing the Sunnyvale community? GI Je.>oif,c-qve- ve.o ec, "6pe01o-l rne,nk, ..e&fed"' o. lo,. CUYYJvn,dcu) IQ\~lt"'v\ I et(\ r/\1 oriy-\1(>V-. Y\O h~e_ O\CC..'-e.,";)O' 0\ (Ylvd101S SefV1Llo) '"' le..~ 'f-"- puedeo, c,,coede..- Oho-:, ek<\ l<"-::, / Y) t, e,,-bl ~O\\._) \(AY'JD' Je d. \·,') C/(1 )'"YI ,y)(;A. C,,n:;}r-J p e,\C/ ~', I' cl-e y\/lCQ)\Y), \<;·r() 0 _S, J.e. r'f\Jv& il>""'I (b'fl/\ f\ut!<'JbP\-- C(.)-rv)un,dt.>\cf. ::~s:~~:~i~~~~~e your experience working with historically marginalized communities. How have your actions benefited \4-c- ~ob Y"Y\'-"1 lave,"\~~ eJf- pe,.y, ehCA'c:;;,i. '\ °'1'v<l,qre,~ o 0\ CO" r,(lvn 1cl'c-->tJ~ Yv\1'r"'\OY1\v'\v1CN:5 ec":)pe...ut>lry,Q.,l"\k.. Jc>.N") d n,>-r~ d- bUY\.-flt"°'le. l.,e, he.. he--J.i.c, 01. hO\ve~ d~ c.P'fY)Wn \C;e-'\,f' t COY\--.rY h y' IV"'!rC-Yr'YY>t oro'.y\_ ot,7\oli:- reu...:>(s.o ~ ~'-'~. c'.f~ o l-b."r ~( ' Cbnc/01do d.Q_ &0tn ~c--... t G\01\rCA- \ V\ve.-'f.:I hCA.. G1vcl01el I t S vn n~le.. CoYY1rnun1· }-1' Sen ✓ 1 t:-e--:>•
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Rev. 3/2023 ~ .J 1 ' ' \ Page 10 of 15
Attachment 3
Delia Ayala
4. What motivated you to apply for this board or commission?
Working with people to help them with their needs to know how to provide solutions motivates me.
5. What skills or attributes can you bring to this board or commission?
I can bring trust, integrity, competence, and honesty.
I know how to engage with people to improve weak areas for the community and the City of Sunnyvale.
6. The primary role of a board or commission member is to provide advice to City Council on policy issues that are within the scope of that board or commission. With this in mind, what steps would you take to effectively exercise this specific board or commission role?
Listen for which are areas of need or deficiencies in order to explore and implement ideas in the future.
7. Education: List college degrees and majors, and any relevant training or experience that demonstrates your ability to effectively serve on this board or commission.
- High School
- Two years of college
- Various leadership courses
8. Briefly describe your current or last occupation.
Customer Service Representative at a tech company.
9. Briefly describe what you learned by attending a meeting of the City Council, board or commission. Describe what improvements you would suggest the City consider.
I learned that I am here as a part of a very diverse city, where the descriptor “diversity” plays a very important and crucial role.
I also learned that there is a great deal to do in our city, and I know that I can contribute a lot to improve and build a better city as a commissioner.
10. Describe your involvement in community activities, volunteer and civic organizations.
- I am a community leader in a voluntary program developed by Sunnyvale Community Services.
- I am a leader of the church that I attend, where we develop activities to support and help our community.
11. What do you think are major equity challenges facing the Sunnivale community?
I see a particular challenge regarding the Latino community. In my opinion, they do not have access to many services that are readily available to other ethnic groups. I am not talking about discrimination, but rather about inclusion mechanisms for our community.
Attachment 3
12. Please describe your experience working with historically marginalized communities. How have your actions benefited these communities?
I have had great experiences helping minority communities, particularly in North Sunnyvale.
I have done this by communicating and sharing information about resources provided by Santa Clara County, our City, and Sunnyvale Community Services.
Also, through the community leaders program, we have helped the unhoused community by sharing useful resources with them to improve their situation.
It is a pleasure to help the community, and I believe the satisfaction we experience from helping those in need is unparalleled.
Attachment 3
~,,~
-..;:: ::....
..
Sunnyvale
City of Sunnyvale
Incumbent Board and Commission Member
Request for Reappointment Consideration
0nty incumbents seeking reappointment to the same boarc:Vcommission may use this form Please print or type answers to all questions. Write N/A if not applicable.
Please accept my request to be reappointed to: Parks and Recreation Commission Office Use Ontt_ 1 / 0 f.'1 LL
Date Received:~
':"lifrft};
By:
Applicant Name: BREMOND DANIEL L
Last First M.I.
Current Residence - ~ ----_.;: S:..:::u:.:..:n::..:.nyy.&..:.:::a:.:..:le:;..._ ____ C;:;;A:..,:__ ______ -""94..;..0;:;..:8""'7_-4.;.:2;:;.;1c::9_ Street City State Zip
E-mail Address:
Prefened Contact Phone Number(s): -
1. Are you a currently-registered voter in Sunnyvale?
Yes [S<3 No r::,
2. Length served on current
board/commission? 4 ears
When was the last time you voted?
Month March Cil Year 2024
3. Have you served previously on other City boards or commissions? Yes [?J No C7
If yes, which one? Board of Library Trustees Term currently serving ______________ Term previously served 2 terms
4. New Information about my qualifications that I would like Councll to know:
Attachment 3
Applicant Name Daniel Bremond
5. Reasons I wish to be reappointed:
I like and enjoy to contribute to the City government.
6. Additional Information:
I live accross the street from Serra Park, so i have a good view of what Park management requires , and what the City provides .
IMPORTANT NOTICES - READ BEFORE SIGNING:
All information provided on this application becomes a publlc record after it is officially flied. This document will be published to the City website with the interview materials . Personal contact Information wlll be redacted.
Applicants appointed to the Planning Commission, Arts Commission, Heritage Preservation Commission and Housing and Human Services Commission are required to electronically file the Fair Political Practices Commission (FPPC) Statement of Economic Interests (Form 700), which is a public record. The Form 700 reports your economic interests and your spouse/domestic partner's economic interests (if applicable). A copy of this form is available in the Office of the City Clerk or by visiting www.fppc.ca.gov/Form700.html Pursuant to the Americans with Disabilities Act (ADA), the City of Sunnyvale will make reasonable efforts to accommodate persons with qualified disabilities during the boards and commission interview process. Should you require special accommodations, please contact the Office of the City Clerk via [email protected] or at 408-730-7483 at least five days in advance of your scheduled interview.
I certify under penalty of perjury that all statements I have made on this application are true and correct. I hereby authorize the City of Sunnyvale to investigate the accuracy of this infonnation from any person or organization, and I release the City of Sunnyvale and all persons and organizations from all claims and liabilities arising from such investigatlon or the supplying of information for such investigation. I acknowledge that any false statement or misrepresentation on this application or supplementary materials will be cause for refusal of appointment or immediate dismissal at any lime during the period of my appointment.
Your application Is not complete until It Is signed and submitted to the Office of the City Clerk.
Signature of Applicant Date ',/ 6 / 'Ul'llt
Applying your dlgltttt-slgnature locks the lnfonnatlon you entered on this application, preventing further edits.
Please return to: Office of the City Clerk, 456 W. Olive Ave., P.O. Box 3707, Sunnyvale, CA 94088-3707 or email to [email protected]
Attachment 3
. ..
Applicant NameDaniel Bremond
Demographic Information
•• This voluntary Demographic Information is public information •• This information will help Council meet its goal of ensuring that the Human Relations Commission as well as other boards and commissions reflects the demographic diversity of Sunnyvale residents, Age:
D Under 18
□ 18-44
□ 45-64
0 65+
O Prefer Not to Answer
Gender:
D Female
0 Male
D Non-binary/Non-conforming
D Transgender
D Prefer Not to Answer
D Not Listed:
Do you identify as LGBTQIA+ :
D Yes
0 No
D Prefer Not to Answer
Race/Ethnicity: select all that apply.
0 White
0 Black/African-American
D Asian
0 Hispanic-Latinx/o/a/e
O Native American/Indigenous
D Native Hawaiian or Pacific Islander
O Prefer Not to Answer
D Not Listed:
Do you speak a language other than English? If yes, please share French Household Income:
D <$161,670 (median household income)
D $161,670+
0 Prefer Not to Answer
Are you a:
O Renter
0 Homeowner
O Both (mobile homeowner)
D Prefer Not to Answer
O Not Listed:
Do you live in a:
D ApartmenVCondo
O Single Family Home
O Mobile Home
0 Prefer Not to Answer
D Not Listed:
Any other Identities that you would like us to know about? Attachment 3
CITY OF SUNNYVALE Office Use Only
~'~ ...:: ~ BOARDS AND COMMISSIONS APPLICATION Date Received: 04/24/24 .. The C;ty supports its demographic diversity and encourages applicants from all groups to apply.
Voter registration verified:
Sunnyvale
Please print or type answers to all questions. Write N/A if not applicable.
On: 04/24/24
By: MH
General eligibility requirements: Sunnyvale residency. Other requirements may apply to specific boards and commissions.
For more information, contact the Office of the City Clerk via cityclerk@sunnyva le.ca.qov or at 408-730-7 483 or visit the City website at Sunnyvale .ca.gov and search "Boards and Commission" Arts Commission
If you would like to apply for more than one vaca ncy,
place a number next to the board or commission, in order of your preference, for which you would like to apply.
__ Bicycle and Pedestrian Advisory Commission
__ Board of Library Trustees·
__ Heritage Preservation Commission·
Only applications for current openings will be considered at this time. Applications for future openings will be kept on file for one year. Qualified applicants will be contacted for an interview with City Council. Appointments will be made at a regular meeting of the City Council.
__ Housing and Human Services Commission
Human Relations Commiss ion
- 1- Parks and Recreation Commission·
Personnel Board*
__ Planning Commission·
_ 2_ Sustainability Commission
*Registered Sunnyvale voter
If you are applying for the Bicycle and Pedestrian Advisory Commission, please identify the category for which you are applying .
.r:::::J.. Category One: Applicants must be bicyclists or pedestrians residing in Sunnyvale . .r:::::J.. Category Two: Applicants must have an interest in bicycle and/or pedestrian issues in the City, reside outside Sunnyvale and belong to one of the groups listed below. Please check as many that apply:
__ Parent Teacher Associations (PTA)/parent group member __ Administrations of schools in Sunnyvale
__ Commute coordinators for major employers within Sunnyvale __ Principals or teachers from Sunnyvale schools
If you are applying for the Human Relations Commission, please identify the category for which you are applying:
.r:::::J.. Category One: Applicants shall be Sunnyvale residents . .r:::::J.. Category Two: Applicants shall include representatives of a nonprofit service agency that serves Sunnyvale residents. Such members need not be Sunnyvale residents.
If you are applying for the Sustainability Commission, please identify the category for which you are applying . .r::z::1 Category One: Applicants shall be Sunnyvale residents . .r:::::J.. Category Two: Applicants shall include members of the Sunnyvale business community*. Such members need not be Sunnyvale residents.
• Sunnyvale business license holders; or designated representative of Sunnyvale businesses with 200 or more employees.
Applicant Name: Jansen Cortney L
Last First M.I.
Current Residence ----- Sunnyvale CA 94089 ~ ------ ~=c-"-ity'-'-'-=-=--------='"'" s-'-t-a-te------"'-'-' z'""'ip'-=---- E-mail Address:
Preferred Contact Phone Number(s): .
• -
Rev. 3/2023
Attachment 3
1. Are you a currently-registered voter in Sunnyvale?
Yes _[ZJ_ No r::J
A pplica nt Nam e Cortney Jansen
When was the last time you voted?
Month ....:.M=a=r-=-c:..:..h ____ Year 2024
2. Are you currently serving or have you served on a City of Sunnyvale board or commission? Yes _r::J.... No IT]
If yes, which one? Term currently serving
---------------------------- Term previously served
3. Prior attendance at a board or commission meeting is highly desirable. Have you attended meeting(s) of the board or commission for which you are applying?
Yes _IT]_ No ...r::::]_
If yes, how many meetings have you attended?
One Parks & Rec Commission meeting in-person and most of one Sustainability Commission meeting over zoom. I watched the recordings of the Feb, March, & April meetings for both Parks & Rec and Sustainability Commissions.
NOTE: If you are applying for more than one board or commission, please reference the specific board or commission in your response to questions 4-7.
4. What motivated you to apply for this board or commission? Over the past several months, I have gotten more involved in local advocacy work. I've attended City Council meeting , met elected officials , and spoken with current Commissioners. My motivation for applying is to take the next step to bring a difference to our community and to bring the voice of a parent from North Sunnyvale. The specific reasons I chose these two Commissions are:
Parks & Rec: My kids and I have been to many Sunnyvale parks, and my oldest child has attended several City summer camps . I want the City to think bigger about park renovations , adding more natural play areas for our kids. I also hope to bring more City summer camps to North Sunnyvale, add more arts/music City summer camps, and better match the SSD calendar (e.g., school starts August 19, 2024, but there are no City summer camps the week of August 12).
Sustainability : I support study issue ESD 24-01 and bringing more native plants, trees, and other natural materials to our community . I want to make the FoodCycle program more popular, work to expand the restaurant reusable container pilot program, and help the City achieve its Climate Action Plan targets.
Finally, I want to encourage increased communication between City departments. For example , when the Parks & Rec Commission voted to support artificial turf at Lakewood Park last year, this decision felt completely independent of the City's Climate Action Plan goals and sustainability work.
5. What skills or attributes can you bring to this board or commission? My skills and attributes are the same for both commissions.
As a program manager and previously a project coordinator , I am extremely organized, I keep deadlines, I can manage multiple projects/topics at once, and I am able to think about both the bigger picture and the details.
I am good at cross-disciplinary collaborations and liaising across multiple teams and organizations . In my current role, I work with engineering , regulatory , program management , security , and other teams . With this experience , I am able to listen to and understand feedback from multiple different entities , consolidating those perspectives into a common vocabulary , and making decisions that affect multiple stakeholders.
I also ask questions , even the dumb ones . I ask questions to clarify, questions to make sure all stakeholders have a common understanding , and questions whose answers may seem obvious but often aren't.
Finally, I know that equity and supporting under-served and under-represented communities has been a popular topic .
As a resident of North Sunnyvale, a member of the Lakewood Village Neighborhood Association board , and a parent of kids in the Sunnyvale School District, I will be active in reaching out to our communities to understand the issues and their priorities .
Rev. 3/2023 Page 2 of 15
Attachment 3
Applicant Name______________________
Rev. 3/2023 Page 3 of 15
6. The primary role of a board or commission member is to provide advice to City Council on policy issues that are within the scope of that board or commission. With this in mind, what steps would you take to effectively exercise this specific board or commission role?
7. Education: List college degrees and majors, and any relevant training or experience that demonstrates your ability to effectively serve on this board or commission.
8. Briefly describe your current or last occupation.
9. Briefly describe what you learned by attending a meeting of the City Council, board or commission. Describe what improvements you would suggest the City consider.
Cortney Jansen
For both Commissions, I would first re-read the relevant City plans (e.g., the details of the Climate Action Plan and the Parks 20-year renovation plan) and the 2024 Work Plans. When on the Commission, I plan to attend neighborhood association meetings to raise awareness of the Commission work and to collect community input. With the Parks & Rec Commission specifically, I would revisit the parks in Sunnyvale. For both Commissions, I would look at what other local and national communities do and where Sunnyvale can learn from them. For example, Tunnel Tops Playground in SF or other natural play-focused playgrounds could provide inspiration for our own parks renovation. As another example, how are other cities incentivizing their residents to choose sustainable behaviors? This feedback and research will inform my role as a Commissioner, make sure that I ask the right questions during Commission meetings, and help ensure that Commission presentations to Council by the Commission Chair are comprehensive.
Duke University: Masters of Science {biomedical engineering) University of Rochester: Bachelors of Science (biomedical engineering) Eastman School of Music: Bachelors of Music (applied music - bassoon performance) I have been at Intuitive for the last 7.5 years. For the last 1.5 years, I have been the Technical Program Manager for an engineering team. I do project coordination and management, liaise between our group and other teams at Intuitive, identify project goals, and more.
I have learned the basics of how government meetings are run, the rules for compliance with the Brown Act, and the different responsibilities of the different City departments and different Commissions.
In the context of how to improve these meetings, my initial suggestions would make it easier for people to participate in meetings, either in-person or over Zoom. As a parent and full-time employee, I can't easily sit in City Hall for multiple hours, and it's also hard to be on Zoom for an entire meeting. I have four suggestions to improve the process:
(1) On the agenda, provide approximate time estimates on how each agenda item is expected to take. I realize that some agenda items will run long (or short), but it would be helpful to know if staff expects an agenda item to be 10 or 90 minutes long.
(2) Implement a text alert system. People would submit their phone number and their agenda item of interest, and they get an automated text alert when the prior agenda item starts (e.g., if I'm interested in Agenda Item 3, I would get a text when Agenda Item 2 starts) and again at the start of the agenda item of interest. I realize this would be a substantial amount of work to implement, but it would be amazing.
(3) The April 23 City Council meeting had a banner on the screen that listed Agenda Item # and Topic. This was fantastic. Please bring this feature to all Commission meetings. (4) Presentation slides should include definitions of all acronyms, so that anyone looking through the slides can easily understand the acronym.
Finally, while not an improvement, I really appreciate that, during public comment, the City Clerk calls out the names of the current and the next commenter. It gives us a warning before our comment starts.
Attachment 3
Applicant Name Cortney Jansen
10. Describe your involvement in community activities, volunteer and civic organizations.
I hold the following positions:
(1) Lakewood Village Neighborhood Association - 1st Vice President ; content writer for the monthly Villager newsletter (2) Sunnyvale Education Foundation (SEF) - San Miguel Elementary Site Representative (3) San Miguel Elementary PTA - Chair of Fundraising Committee I am also involved with Sunnyvale for Equity in Education (SEE) as a listener and occasional contributor, and I am a member of the newly-formed Community For Natural Play Surfaces (CFNPS), which strives to increase the amount of grass and natural materials in our playing fields, playgrounds, parks, and towns. 11 . The City has a Code of Ethics and Conduct for Elected and Appointed Officials and an Attendance Policy (7.2.19}. 2.G.(11) that appointed members are required to follow. Do you have any concerns in these two areas? Yes ...c::::]_ No _IT]_
If so, please describe.
N/A
12. If an unplanned vacancy arises on the board(s) or commission(s) you are interested in, would you be willing to accept a temporary appointment for the remainder of the unexpired term or until a recruitment is held and Council officially fills the vacancy?
Yes [77 No C7
IMPORTANT NOTICES - READ BEFORE SIGNING:
All information provided on this application becomes a public record after it is officially filed. This document will be published to the City website with the interview materials. Personal contact informat ion will be redacted.
Applicants appointed to the Planning Commission , Arts Commission, Heritage Preservation Commission and Housing and Human Services Commission are required to electron ically file the Fair Political Practices Commission (FPPC) Statement of Economic Interests (Form 700), which is a public record. The Form 700 reports your econom ic interests and your spouse/domestic partner's econom ic interests (if applicable). A copy of this form is available in the Office of the City Clerk or by visiting www.fppc.ca.gov/Form700.html Pursuant to the Americans with Disabilities Act (ADA), the City of Sunnyvale will make reasonab le efforts to accommodate persons with qualified disabilities during the boards and comm ission interview process. Should you require specia l accommodations, please contact the Office of the City Clerk via cityclerk@sunnyva le.ca.qov or at 408-730-7 483 at least five days in advance of your scheduled interview.
I certify under penalty of perjury that all statements I have made on this application are true and correct. I hereby authorize the City of Sunnyvale to investigate the accuracy of this information from any person or organization, and I release the City of Sunnyvale and all persons and organizations from all claims and liabilities arising from such investigation or the supplying of information for such investigation. I acknowledge that any false statement or misrepresentation on this application or supplementary materials will be cause for refusal of appointment or immediate dismissal at any time during the period of my appointment.
Your application is not complete until it is signed and submitted to the Office of the City Clerk.
Complete all above fields, the Supplemental Questionnaire and Demographic Information prior to signing this document. Applying your digital signature locks the information you entered, preventing further edits.
Cortney Jansen Digitally signed by Cortney Jansen
Signature of Applicant Date: 2024.04.24 09:21:34 -07'00' Date 4/24/2024 ---------
PI ease return to: Office of the City Clerk, 456 W. Olive Ave., P.O. Box 3707, Sunnyvale, CA 94088-3707 or email to [email protected]
Rev. 3/2023 Page 4 of 15
Attachment 3
Applicant Name______________________
Rev. 3/2023 Page 11 of 15
Park and Recreation Commission
We are looking for someone who has interest in open space and recreational activities
13. Community demographics are constantly changing. What do you think are the principal issues this Commission may be addressing over the next few years?
Cortney Jansen
I would categorize the primary issues into equity and environment.
Equity: (1) I know that few of the City summer camps are offered in North Sunnyvale. Last summer, no camps were held north of 101. I personally had difficulties driving my child to the De Anza Park Building for science camps in the morning or to San Antonio Park for soccer camp. So I would like to see a breakdown of where summer camp participants live (by zip code) and to provide more City summer camps in the north part of Sunnyvale. I would also love to see more arts and music summer camps and to find ways to expand scholarship support. (2) The 2024 Work Plan mentions that October is Active Aging Month. I haven't looked into this much, but I would be interested to explore how Parks & Rec can support our elderly populations, particularly those in North Sunnyvale who may have transportation or mobility issues that make it hard to attend events downtown. (3) This is a long shot, but I would love to bring low-cost water safety and/or swim lessons to our low-income communities. The current City swim lessons are very affordable, but they book almost immediately, and there is not enough space to accommodate all of our our low-income families. This leaves many kids in our community who don't have access to affordable water safety or swim lessons. I want to explore ways to expand our lifeguard and pool programs and bring water safety and/or swim lessons to the students who may not otherwise get them.
Environment: (1) Given that we are in a drought-prone area and that kids need access to nature and natural play areas, I imagine the Parks & Rec Commission can help guide this. Topics I would like to explore include bringing more nature to our parks and community (e.g., pollinator gardens, California native plant gardens), exploring alternatives to poured-in-place rubber (which gets hot on warm days), and thinking big about our playground renovations (e.g., Tunnel Tops playground, ideas from the June 2023 "The future is a playground" article from the Washington Post, the Children's Traffic Playground in Copenhagen). (2) Artificial turf is obviously an issue. We need to balance the needs of various sports leagues with the environmental reality that artificial turf fields are not an option. Parks & Rec could take the lead in establishing a well-maintained, organically managed, natural grass field program in our City. We should implement a field closure policy (covering both rain and hot weather) for the artificial turf fields at Fair Oaks, and we should revisit the grass field closure policy to see if there are ways to better rotate fields. (3) I also wonder what other nearby organizations the City can partner with to bring nature to our City. Perhaps organizations like the Peninsula Open Space Trust or California Native Plant Society would be willing to share their expertise.
Attachment 3
Applica nt Name Cortney Jansen
Demographic Information
** This voluntary Demographic Information is public information ** This information will help Coun cil meet its goal of ensuring that the Human Relations Commissi on as well as other boards and commissions reflects the demographic diversity of Sunnyvale residents.
Age:
D Under 18
0 18-44
□ 45-64
□ 65+
D Prefer Not to Answer
Gender:
0 Female
D Male
D Non-binary/Non-conforming
D Transgender
D Prefer Not to Answer
D Not Listed:
Do you identify as LGBTQIA+ :
D Yes
0 No
D Prefer Not to Answer
Race/Ethnicity: select all that apply.
0 White
D Black/African-American
D Asian
D Hispanic-Latinx/o/a/e
D Native American/Indigenous
D Native Hawaiian or Pacific Islander
D Prefer Not to Answer
D Not Listed:
Do you speak a language other than English? If yes, please share Learninq Spanish Household Income:
D <$161,670 (median household income)
0 $161,670+
D Prefer Not to Answer
Are you a:
D Renter
0 Homeowner
D Both (mobile homeowner)
D Prefer Not to Answer
D Not Listed:
Do you live in a:
D Apartment/Condo
0 Single Family Home
□ Mobile Home
D Prefer Not to Answer
D Not Listed:
Any other identities that you would like us to know about? Rev. 3/2023 Page 15 of 15
Attachment 3
CITY OF SUNNYVALE
BOARDS AND COMMISSIONS APPLICATION
The City supports its demographic diversity and encourages applicants from all groups to apply.
Office u~ Only~ LI
Date Received: rr u
Vd.er registration ve • :
On: 4/25/2 4
Sunnyvale By: MH
Please print or type answers to all questions. Write NIA if not applicable.
General eligibility requirements: Sunnyva le residency. Other requirements may apply to specific boards and commissions.
For more information , contact the Office of the City Clerk via cityclerk@sunnyval e.ca.gov or at 408-730-7483 or visit the City website at Sunnyvale.ca .gov and search "Boards and Commission· Arts Commission
If you would like to apply for more than one vacancy,
place a number next to the board or commission, in order of your preference, for which you would like to apply.
__ Bicycle and Pedestrian Advisory Comm ission
__ Board of Library Trustees·
__ Heritage Preservation Commission·
Only applications for current openings will be considered at this time. Applications for future openings will be kept on file for one year. Qualified applicants will be contacted for an interview with City Council. Appointme nts will be made at a regular meeting of the City Council.
__ Housing and Human Services Commission
Human Relations Commission
_j_ Parks and Recreation Commission ·
Personnel Board·
__x_ Planning Commission·
__ Sustainability Commission
"Registered Sunnyvale voter
If you are applying for the Bicycle and Pedestrian Advisory commission. please identify the category for which you are applying.
__ Category One: Applica nts must be bicyclists or pedestrians residing in Sunnyvale. __ Category Two : Applica nts must have an interest in bicycle and/or pedestrian issues in the City, reside outside Sunnyvale and belong to one of the groups listed below. Please check as many that apply:
_ _ Parent Teacher Associations (PTA)/parent group member _ _ Administratio ns of schools in Sunnyvale
__ Commute coordinators for major employers within Sunnyvale __ Principals or teachers from Sunnyvale schools
If you are applying for the Human Relations Commission, please identify the category for which you are applying:
__ Category One: Applicants shall be Sunnyvale residents. __ Category Two: Applicants shall include representatives of a nonprofit service agency that serves Sunnyvale residents. Such members need not be Sunnyvale residents.
If you are applying for the Sustainability Commission, please identify the category for which you are applying. __ Category One: Applica nts shall be Sunnyvale residents. __ Category Two: Applicants shall include members of the Sunnyvale business community·. Such members need not be Sunnyvale residents.
• Sunnyvale business license holders; or designated representative of Sunnyvale businesses with 200 or more em/ioyees.
Applicant Name:
Current Residence
Zip
E-mail Address:
Preferred Contact Phone Number(s):
Rev. 3/2023
Attachment 3
1. Are you a currently-registered voter in Sunnyvale?
Applicant Name~,~.......,-+--< 0 __ -fl~• ..... a+"'vtf() _____ g._ \/\/hen was the last time you voted?
Yes v No --- Month t'Y\CA. 'I" C.V\
2. Are you currently serving or have you served on a City of Sunnyvale board or commission? Yes __ No /
If yes, which one? Term currently serving
- - ---- ------- -
--------------- Te rm previously served
3. Prior attendance at a board or commission meeting is highly desirable. Have you attended meeting(s) of the board or commission for which you are applying?
Yes __ No ✓
If yes, how many meetings have you attended?
NOTE: If you are applying for more than one board or commission, please reference the specific board or commission in your response to questions 4-7.
4. \/\/hat motivated you to apply for this board or commission? ..:r ..-.,..,,.,_ ~ .\.o ~-c,,\- yf\VO \,vt,J ~ \ ~ r".'f C.~ '°'1 • C"''"' V\-t\V tk.~llJ 1 ~(X.,~ o+"ev- V\u,..,.S.
5. \/\/hat skills or attributes can you bring to this board or commission? Rev. 3J2023 Page 2 of 15
Attachment 3
Applicant Name s~ I~ ~'.5 VUO"!
6. The primary role of a board or commission member is to provide advice to City Council on policy issues that are within the scope of that board or commission. With this in mind, what steps would you take to effectively exercise this specific board or commission role? f _
5",r--rt..+ej''- ti,ritl ado~f,~ f'Ol/<.,~J Ar1d qc/¢re:J/,.;,J {)tr..f l,~h "+ , 6\ )½(d t- •
7. Education: List college degrees and majors, and any relevant training or experience that ~emonstrates your ability to effectively serve on this board or commission. T rt, µ f vh O O I- . {J tv ~ l:? 1;-i) -1-4~ /4 IA.. ,/-, ~(..,'), L 3 '13 p Jvn--..b <--J VVl , v,,, .
8. Briefly describe your current or last occupation. -P ()Vt, ~VW"'I
9. Briefly describe what you learned by attending a meeting of the City Council, board or commission. Describe what improvements you would suggest the C~y consider. Iv'/ A-- Rev.3/2023 Page 3 of 15
Attachment 3
• Applicant Name SO\S 10 -4@ \Jli/()q
10. Describe your involvement in community activities. volunteer and civic organizations. f Of w~f"~ Coq ul ~ cJ /41,-Jo "'~(;,;-1cl
11. The City has a Code of Ethics and Conduct for Elected and Appointed Officials and an Attendance Policy CT.2.19). 2.G.(II) that appointed members are required to follow. Do you have any concerns in these two areas? Yes __ No ✓
If so, please describe.
12. If an unplanned vacancy arises on the board(s) or commission(s) you are interested in, would you be willing to accept a temporary appointment for the remainder of the unexpired term or until a recruitment is held and Council officially fills the vacancy?~
Yes ~~,.__No __ _
IMPORTANT NOTICES - READ BEFORE SIGNING :
All information provided on this application becomes a public record after it is officially filed. This document will be published to the City website with the interview materials . Personal contact information will be redacted.
Applicants appointed to the Planning Commission , Arts Commission , Heritage Preservation Commission and Housing and Human Services Commission are required to electronically file the Fair Political Practices Commission (FPPC) Statement of Economic Interests (Form 700), which is a public record. The Form 700 reports your economic interests and your spouse/domestic partner's economic interests (if applicable) . A copy of this form is available in the Office of the City Clerk or by visiting www.fppc .ca.gov/Form700 .html Pursuant to the Americans with Disabilities Act (ADA), the City of Sunnyvale will make reasonable efforts to accommodate persons with qualified disabilities during the boards and commission interview process . Should you require special accommodations, please contact the Office of the City Clerk via [email protected] or at 408-730-7 483 at least five days in advance of your scheduled interview .
I certify under penalty of perjury that all statements I have made on this application are true and correct. I hereby authorize the City of Sunnyvale to investigate the accuracy of this information from any person or organization , and I release the City of Sunnyvale and all persons and organizations from all claims and liabilities arising from such investigation or the supplying of information for such investigation . I acknowledge that any false statement or misrepresentation on this application or supplementary materials will be cause for refusal of appointment or immediate dismissal at any time aunnv the period of my appointment.
Your application is not complete until it is signed and submitted to the Office of the City Clerk.
Complete all above fields, the Supplem I Questionn ire and Demographic Information prior to signing this document. Applying your digital signat e I cks the inf ation you entered, preventing further edits.
Signature of Applicant -~----_..:,._~-:_-=.-=:=----------- Date '-/- 2 Lj - 2 '-/ Please return to: Office of the City Clerk, 456 W. Olive Ave., P.O. Box 3707, Sunnyvale, CA 94088-3707 or email to [email protected]
Rev. 3/2023 Page 4 of 15
Attachment 3
Applicant Name ~,o frjve,,o,;
Park and Recreation Commission
We are looking for someone who has interest in open space and recreational activities
13. Community demographics are constantly changing. Wlat do you think are the principal issues this Commission may be addressing over the next few years?
f Op II f {,,t +t ""h 5 r0 vv 44-. 1 :JI" -We; s frvtv vt.. /Vlov--# s pt>rf ~ L,· I ,J-r'u Jl1 "'--f b,c; n..J,,t4e(.
Rev.3/2023 Page 11 of15
Attachment 3
Applicant Name
Demographic Information
.... This voluntary Demographic Information is public information • This information will help Council meet its goal of ensuring that the Human Relations Commission as well as other boards and commissions reflects the demographic diversity of Sunnyvale residents.
Age:
Under18
18-44
~
65+
Prefer Not to Answer
Gender:
Female
~
"1o'n-binary/Non-conforming
Transgender
Prefer Not to Answer
Not Listed:
Do you identify as LGBTQIA+ :
Yes
@)
Prefer Not to Answer
Race/Ethnicity: select all that apply.
VVhite
Black/African-American
Asian
(8ispanic-Latinx/o/a0
Native American/Indigenous
Native Hawaiian or Pacific Islander
Prefer Not to Answer
Not Listed:
Do you speak a language other than English? If yes, please share S () A--Y"t , S £..
Household Income:
<$161,670 (median household income)
$ 1 6 +
Are you a:
Renter
(Homeown(il)
Both (mobile homeowner)
Prefer Not to Answer
Not Listed:
Do you live in a:
Apart ent/Condo
• Home
Prefer Not to Answer
Not Listed:
Any other identities that you would like us to .know about? Rev. 3/2023 Page 15 of 15
Attachment 3
CITY OF SUNNYVALE Office Use Only
~'~ ...:: ~ BOARDS AND COMMISSIONS APPLICATION Date Received: 05/08/24 .. The C;ty supports its demographic diversity and encourages applicants from all groups to apply.
Voter registration verified:
Sunnyvale
Please print or type answers to all questions. Write N/A if not applicable.
On: 05/08/24
By: MH
General eligibility requirements: Sunnyvale residency. Other requirements may apply to specific boards and commissions.
For more information, contact the Office of the City Clerk via cityclerk@sunnyva le.ca.qov or at 408-730-7 483 or visit the City website at Sunnyvale .ca.gov and search "Boards and Commission" Arts Commission
If you would like to apply for more than one vaca ncy,
place a number next to the board or commission, in order of your preference, for which you would like to apply.
__ Bicycle and Pedestrian Advisory Commission
__ Board of Library Trustees·
__ Heritage Preservation Commission·
Only applications for current openings will be considered at this time. Applications for future openings will be kept on file for one year. Qualified applicants will be contacted for an interview with City Council. Appointments will be made at a regular meeting of the City Council.
__ Housing and Human Services Commission
Human Relations Commiss ion
Parks and Recreation Commission·
Personnel Board*
1 P lanning Commission·
_ 2_ Sustainability Commission
*Registered Sunnyvale voter
If you are applying for the Bicycle and Pedestrian Advisory Commission, please identify the category for which you are applying .
.r:::::J.. Category One: Applicants must be bicyclists or pedestrians residing in Sunnyvale . .r:::::J.. Category Two: Applicants must have an interest in bicycle and/or pedestrian issues in the City, reside outside Sunnyvale and belong to one of the groups listed below. Please check as many that apply:
__ Parent Teacher Associations (PTA)/parent group member __ Administrations of schools in Sunnyvale
__ Commute coordinators for major employers within Sunnyvale __ Principals or teachers from Sunnyvale schools
If you are applying for the Human Relations Commission, please identify the category for which you are applying:
.r:::::J.. Category One: Applicants shall be Sunnyvale residents . .r:::::J.. Category Two: Applicants shall include representatives of a nonprofit service agency that serves Sunnyvale residents. Such members need not be Sunnyvale residents.
If you are applying for the Sustainability Commission, please identify the category for which you are applying . .r::z::1 Category One: Applicants shall be Sunnyvale residents . .r:::::J.. Category Two: Applicants shall include members of the Sunnyvale business community*. Such members need not be Sunnyvale residents.
• Sunnyvale business license holders; or designated representative of Sunnyvale businesses with 200 or more employees.
Applicant Name: Ramachand ran
Last
Current Residence
Street
E-mail Address:
Preferred Contact Phone Number(s):
Rev. 3/2023
Gopalachary
First
Sunnyvale Ca
City State
M.I.
94087
Zip
Attachment 3
1. Are you a currently-registered voter in Sunnyvale?
Applicant Name Gopalachary (Ram} Ram
When was the last time you voted?
Yes _[ZJ_ No r::J
Month -=-Mc.:..:a=r.=..:ch-'------'[;f]= ... =-- Year 2024
2. Are you currently serving or have you served on a City of Sunnyvale board or commission? Yes _r::J.... No IT]
If yes, which one? Term currently serving
---------------------------- Term previously served
3. Prior attendance at a board or commission meeting is highly desirable . Have you attended meeting(s) of the board or commiss ion for which you are applying?
Yes _r::J.... No ...r::z:l_
If yes, how many meetings have you attended?
NOTE: If you are applying for more than one board or commission, please reference the specific board or commission in your response to questions 4-7.
4. What motivated you to apply for this board or commission? Planning Commission - It is anticipated that there will be an increase in housing and employment in the city as well as in surrounding cities which will impact city infrastructure. I am interested in evaluating and promoting actions to make the city a liveable community and minimize the impacts of population increase and contribute to minimize global warming Sustainibility Commision - I think the planning and sustainability actions go hand in hand and form a two tier action plan for the city.
I am just in the process of completing an AARP Planning Academy session which has exposed me to the various community related issues and examples of how some communities have solved the problems
5. What skills or attributes can you bring to this board or commission? I have several years of experience in the energy industry and a bulk of the work I have perfomed include technical, economic and financial evaluations leading to recommendations for actions .I have also collaborated with various entities, bothn inside the organization as well as outside the organization in arriving at solutions.
Rev. 3/2023 Page 2 of 15
Attachment 3
Applicant Name______________________
Rev. 3/2023 Page 3 of 15
6. The primary role of a board or commission member is to provide advice to City Council on policy issues that are within the scope of that board or commission. With this in mind, what steps would you take to effectively exercise this specific board or commission role?
7. Education: List college degrees and majors, and any relevant training or experience that demonstrates your ability to effectively serve on this board or commission.
8. Briefly describe your current or last occupation.
9. Briefly describe what you learned by attending a meeting of the City Council, board or commission. Describe what improvements you would suggest the City consider.
Gopalachary (Ram) Ram
Past experience has taught me that it is important to come up with individual soltions as well as support and complement the solutions that other members have come up with so that a consensus can be formed. At the same time it is important to promote ideas that may be controversial but work towards influencing other members with rational arguements for the public good
MBA - Pepperdine University
MS - Chemical Engineering - University of Idaho
BSc(Tech) - University of Madras
Currently Retired
Last Occupation - Project Manager, Electric Power Research Institute, Palo Alto, CA N/A
Attachment 3
Applica nt NameGooalacharv (Ram) Ram
10. Describe your involvement in community activities, volunteer and civic organizations.
Involved in supporting AARP actions for influencing Public Policy 11 . The City has a Code of Ethics and Conduct for Elected and Appointed Officials and an Attendance Policy (7.2.19}. 2.G.(11) that appointed members are required to follow. Do you have any concerns in these two areas? Yes ...c::::]_ No _IT]_
If so, please describe.
12. If an unplanned vacancy arises on the board(s) or commission(s) you are interested in, would you be willing to accept a temporary appointment for the remainder of the unexpired term or until a recruitment is held and Council officially fills the vacancy?
Yes [77 No C7
IMPORTANT NOTICES - READ BEFORE SIGNING:
All information provided on this application becomes a public record after it is officially filed. This document will be published to the City website with the interview materials. Personal contact information will be redacted.
Applicants appointed to the Planning Commission, Arts Commission , Heritage Preservation Commission and Housing and Human Services Commission are required to electronically file the Fair Political Practices Commission (FPPC) Statement of Economic Interests (Form 700), which is a public record. The Form 700 reports your economic interests and your spouse/domestic partner's economic interests (if applicable). A copy of this form is available in the Office of the City Clerk or by visiting www.fppc.ca.gov/Form700.html Pursuant to the Americans with Disabilities Act (ADA), the City of Sunnyvale will make reasonable efforts to accommodate persons with qualified disabilities during the boards and commission interview process. Should you require special accommodations, please contact the Office of the City Clerk via cityclerk@sunnyva le.ca.qov or at 408-730-7 483 at least five days in advance of your scheduled interview.
I certify under penalty of perjury that all statements I have made on this application are true and correct. I hereby authorize the City of Sunnyvale to investigate the accuracy of this information from any person or organization, and I release the City of Sunnyvale and all persons and organizations from all claims and liabilities arising from such investigation or the supplying of information for such investigation. I acknowledge that any false statement or misrepresentation on this application or supplementary materials will be cause for refusal of appointment or immediate dismissal at any time during the period of my appointment.
Your appli cation is not complete until it is signed and submitted to the Office of the City Clerk.
Complete all above fields , the Supplemental Questionnaire and Demographi c Information prior to signing this document. Appl y ing your digital signature locks the informa tion you entered , preventing further edits.
Signature of Applicant ___________________ Date _5_/8_/2_0_2_4 ____ _ Please return to: Offi ce of the City Cler l<i, 456 W. Olive Ave., P.O. Box 3707, Sunnyvale , CA 94088-3707 or email to [email protected]
Rev. 3/2023 Page 4 of 15
Attachment 3
Applicant Name Gopalachary (Ram) Raa
Planning Commission
16. I understand that if I am appointed to Planning Commission, I will be required to e lectronically file the Fair Political Practices Commission (FPPC) Statement of Economic Interests (Form 700) that reports my economic i nterests and my spouse/domestic partner's economic interests (if applicable) , which is a public record? Yes [77 No _c::::J.._
A copy of this form is available by visiting www.fppc.ca.gov/Form700.html
17. Sunnyvale has limited vacant land for new development. This could increase pressure for redevelopment of existing developed areas. How can planning respond to this situation? Redevelopment of existing developed areas may include less than optimal utilization of existing spaces for more efficient use which will require input and consent from exiting users. it is important to do a fair analysis of the existing situation and obtain a majority consensus . For example, some of the existing strip malls have a fairly large parking space and an analysis of what percentage of parking space is unutilized at peak shopping time is an item for discussion.
A few of the strip malls have closed shops for quite a duration . These can be utilized for other public uses.
18. Planning Commissioners are often asked to consider social, econom ic and environmental issues when reviewing proposals. How does one achieve a balanced community?
A balanced community includes open spaces for recreation, accommodations for all income levels and age groups,meets transportation needs for commuting to job and general purposes and shopping facilities. All the requirements may not be the same for different areas of a city. It is important to establish a core requirement. In some cases an existing area may have to be improved to accommodate basic necessities.
Rev. 3/2023 Page 13 of 15
Attachment 3
Applicant Name Gopalachary (Ram) Raa
Sustainability Commission
We are looking for someone who has Demonstrated interest in environmental sustainability issues
19. Sustainability is a new and emerging issue in many commun ities. What do you think are the primary sustainability policy issues this commission will be addressing over the next few years? Primary sustainability issues include meeting basic needs such as water, energy, housing and associated waste disposal including waste water treatment. All of these are tied to consumption and living standard and contributing to global warming . All of these are also tied to affordability. Minimizing environmental emissions is important and adoption of new technologies with better efficiency is going to be important in the future. In this context affordability and acceptance rate is going to be important.
20. Sustainability Commiss ioners will need to consider social, econom ic and environmenta l issues when addressing sustainability policy issues. How does one achieve a balanced community? Sustainability issues are going to be revolving around individual living standard and acceptance of reduction in consumption or meeting existing living standard with adoption of efficient technologies. Efficient technologies adoption in the initial stages of technology development may not be cost effective and any change from existing status requires policy adoption to encourage new technology acceptance. Also, the existing technologies may not be efficiently utilized.
A balanced community has to include approaches to consumption reduction, efficient use of existing technologies while transitioning to new efficient technologies with incentives.
Rev. 3/2023 Page 14 of 15
Attachment 3
Applica nt Name Gopalachary (Ram) Raa
Demographic Information
** This voluntary Demographic Information is public information ** This information will help Coun cil meet its goal of ensuring that the Human Relati ons Commissi on as well as other boards and commissions reflects the demographic diversity of Sunnyvale residents.
Age:
D Under 18
□ 18-44
□ 45-64
0 65+
D Prefer Not to Answer
Gender:
D Female
0 Male
D Non-binary/Non-conforming
D Transgender
D Prefer Not to Answer
D Not Listed:
Do you identify as LGBTQIA+ :
D Yes
0 No
D Prefer Not to Answer
Race/Ethnicity: select all that apply.
□ White
D Black/African-American
D Asian
D Hispanic-Latinx/o/a/e
D Native American/Indigenous
D Native Hawaiian or Pacific Islander
D Prefer Not to Answer
0 Not Listed: south asian indian
Do you speak a language other than English? If yes, please share Household Income:
D <$161,670 (median household income)
□ $161,670+
D Prefer Not to Answer
Are you a:
D Renter
D Homeowner
D Both (mobile homeowner)
D Prefer Not to Answer
D Not Listed:
Do you live in a:
D Apartment/Condo
0 Single Family Home
□ Mobile Home
D Prefer Not to Answer
D Not Listed:
Any other identities that you would like us to know about? Sunnyvale resident for over 36 years
Rev. 3/2023 Page 15 of 15
Attachment 3
CITY OF SUNNYVALE Office Use Only
~'~ ...:: ~ BOARDS AND COMMISSIONS APPLICATION Date Received: 11 /17 /23 .. The C;ty supports its demographic diversity and encourages applicants from all groups to apply.
Voter registration verified:
On: ______ _
Sunnyvale By: MH
Please print or type answers to all questions. Write N/A if not applicable.
General eligibility requirements: Sunnyvale residency. Other requirements may apply to specific boards and commissions.
For more information, contact the Office of the City Clerk via cityclerk@sunnyva le.ca.qov or at 408-730-7 483 or visit the City website at Sunnyvale .ca.gov and search "Boards and Commission" Arts Commission
If you would like to apply for more than one vacancy,
place a number next to the board or commission, in order of your preference, for which you would like to apply.
__ Bicycle and Pedestrian Advisory Commission
__ Board of Library Trustees·
__ Heritage Preservation Commission·
Only applications for current openings will be considered at this time. Applications for future openings will be kept on file for one year. Qualified applicants will be contacted for an interview with City Council. Appointments will be made at a regular meeting of the City Council.
__ Housing and Human Services Commission
Human Relations Commiss ion
Parks and Recreation Commission·
Personnel Board*
__ Planning Commission·
_ x_ Sustainability Commission
*Registered Sunnyvale voter
If you are applying for the Bicycle and Pedestrian Advisory Commission, please identify the category for which you are applying .
.r:::::J.. Category One: Applicants must be bicyclists or pedestrians residing in Sunnyvale . .r:::::J.. Category Two: Applicants must have an interest in bicycle and/or pedestrian issues in the City, reside outside Sunnyvale and belong to one of the groups listed below. Please check as many that apply:
__ Parent Teacher Associations (PTA)/parent group member __ Administrations of schools in Sunnyvale
__ Commute coordinators for major employers within Sunnyvale __ Principals or teachers from Sunnyvale schools
If you are applying for the Human Relations Commission, please identify the category for which you are applying:
.r:::::J.. Category One: Applicants shall be Sunnyvale residents . .r:::::J.. Category Two: Applicants shall include representatives of a nonprofit service agency that serves Sunnyvale residents. Such members need not be Sunnyvale residents.
If you are applying for the Sustainability Commission, please identify the category for which you are applying . .r::z::1 Category One: Applicants shall be Sunnyvale residents . .r:::::J.. Category Two: Applicants shall include members of the Sunnyvale business community*. Such members need not be Sunnyvale residents.
• Sunnyvale business license holders; or designated representative of Sunnyvale businesses with 200 or more employees.
Applicant Name: Dohadwala Maria M
Last First M.I.
Current Residence - -------------=- S-=-u'""nn"'"'yv'--'--"'a"""le'--- ____ C=A--'-----------" 9-'-4""'"08-"-7'----- Street City State Zip
E-mail Address:
Preferred Contact Phone Number(s): -
Rev. 3/2023
Attachment 3
1. Are you a currently-registered voter in Sunnyvale?
Applicant Name Maria Dohadwala
When was the last time you voted?
Yes _[ZJ_ No r::J
Month November Year 2022
2. Are you currently serving or have you served on a City of Sunnyvale board or commission? Yes _[ZJ_ No r::J
If yes, which one? Term currently serving
--------------PI an n in g Commission Term previously served 2010-2014 ----='------------
3. Prior attendance at a board or commission meeting is highly desirable. Have you attended meeting(s) of the board or commission for which you are applying?
Yes _r::J.... No ...r::z:l_
If yes, how many meetings have you attended?
NOTE: If you are applying for more than one board or commission, please reference the specific board or commission in your response to questions 4-7.
4. What motivated you to apply for this board or commission? I am very concerned about climate change and the would like to contribute to building a sustainable community.
In the past I have served on the planning commission in Sunnyvale. It matched with my personal goal of directly contributing to the health of my community. It has been a valuable and rewarding journey of growing as a person and I felt I made a difference.
I would like serve my community in a different commission and sustainability is a subject very close to my heart and something that needs urgent attention.
5. What skills or attributes can you bring to this board or commission? I am a California licensed architect and a LEED (Leadership in Energy and Environmental design) accredited professional. I have been in the design and construction industry for 22 years. As a student, my Bachelor's degree design dissertation was renewable energy center.
The subject of sustainability has been close to my heart ever since I came to know about it. I like and delve in subjects like electrification, reducing green house gas emissions , renewable energy, clean energy, Hydrogen cells, batteries, Carbon regulations and their impacts . I work on building sustainability solutions. I take most building I work on through the California green building regulations and compliance. It is a subject of my interest and I spend time doing research on the subject for professional as well as personal reasons.
With my knowledge I will able to reflect the issues at hand. I will have the opportunity of understanding other perspectives and reaching sustainability goals through different lenses. I will have an opportunity in understanding my community problems and issues they face in achieving their goals and the paths they chose to navigate them.
Rev. 3/2023 Page 2 of 15
Attachment 3
Applicant Name______________________
Rev. 3/2023 Page 3 of 15
6. The primary role of a board or commission member is to provide advice to City Council on policy issues that are within the scope of that board or commission. With this in mind, what steps would you take to effectively exercise this specific board or commission role?
7. Education: List college degrees and majors, and any relevant training or experience that demonstrates your ability to effectively serve on this board or commission.
8. Briefly describe your current or last occupation.
9. Briefly describe what you learned by attending a meeting of the City Council, board or commission. Describe what improvements you would suggest the City consider.
Maria Dohadwala
New policies, codes and regulations can be challenging.
I am a subject matter expert when it comes to applying sustainable principles to the building industry. I see my role to be able to advice based on data driven information.
The goals of this commission are noble and bringing public awareness is necessary. Getting voluntary buy in from the citizens will make implementation a lot easier. This will also make proud happier citizens.
The paths to achieving goals can be different for different communities. I will bring in my perspective as a community member.
Bachelors degree in Architecture
California Licensed Architect
LEED accredited professional
22+ years of experience in the design and building industry.
Understanding and applying California Green Building Code for building compliance.
My last role is Associate principal at HED.design. I design research and development facilities and a lot of the work is in the greater bay area.
Attachment 3
Applica nt Name Maria Dohadwala
10. Describe your involvement in community activities, volunteer and civic organizations.
1. Served on the Planning Commission in City of Sunnyvale
2.Co-chaired after school language program in Cherry chase elementary school,
3. Volunteered conducting PTA led art program called FAME in Cumberland and Cherrychase elementary school 11 . The City has a Code of Ethics and Conduct for Elected and Appointed Officials and an Attendance Policy (7.2.19}. 2.G.( 11) that appointed members are required to follow. Do you have any concerns in these two areas? Yes ...c::J_ No _IT]_
If so, please describe.
12. If an unplanned vacancy arises on the board(s) or commission(s) you are interested in, would you be willing to accept a temporary appointment for the remainder of the unexpired term or until a recruitment is held and Council officially fills the vacancy?
Yes [77 No C7
IMPORTANT NOTICES - READ BEFORE SIGNING:
All information provided on this application becomes a public record after it is officially filed. This document will be published to the City website with the interview materials. Personal contact informat ion will be redacted.
Applicants appointed to the Planning Commission , Arts Commission , Heritage Preservation Commission and Housing and Human Services Commission are required to electron ically file the Fair Political Practices Commission (FPPC) Statement of Economic Interests (Form 700), which is a public record. The Form 700 reports your econom ic interests and your spouse/domestic partner's econom ic interests (if applicable). A copy of this form is available in the Office of the City Clerk or by visiting www.fppc.ca.gov/Form700.html Pursuant to the Americans with Disabilities Act (ADA), the City of Sunnyvale will make reasonab le efforts to accommodate persons with qualified disabilities during the boards and comm ission interview process. Should you require specia l accommodations, please contact the Office of the City Clerk via cityclerk@sunnyva le.ca.qov or at 408-730-7 483 at least five days in advance of your scheduled interview.
I certify under penalty of perjury that all statements I have made on this application are true and correct. I hereby authorize the City of Sunnyvale to investigate the accuracy of this information from any person or organization, and I release the City of Sunnyvale and all persons and organizations from all claims and liabilities arising from such investigation or the supplying of information for such investigation. I acknowledge that any false statement or misrepresentation on this application or supplementary materials will be cause for refusal of appointment or immediate dismissal at any time during the period of my appointment.
Your appli cation is not complete until it is signed and submitted to the Office of the City Clerk.
Complete all above fields , the Supplemental Questionnaire and Demographi c Information prior to signing this document. Appl y ing your digital signature locks the information you entered , preventing further edits.
Oiigllaly Signed t,y Maria OohactMala
ON: CzUS, E=marirtGl<k>haclW91i,net, CN=Merie Oohe0w81e Signature of Applicant Maria Dohadwala ~gf:~~tiE?::;~CA-7 Date Please return to: Offi ce of the City Clerk , 456 W. Olive Ave., P.O. Box 3707, Sunnyvale , CA 94088-3707 or email to [email protected]
Rev. 3/2023 Page 4 of 15
Attachment 3
Applicant Name Maria Dohadwala
Sustainability Commission
We are looking for someone who has Demonstrated interest in environmental sustainability issues
19. Sustainability is a new and emerging issue in many commun ities. What do you think are the primary sustainability policy issues this commission will be addressing over the next few years?
1.Climate Change Mitigation and Carbon Neutrality Goals 2030 Carbon Goals and Net Zero Energy : Develop comprehensive strategies to meet the 2030 carbon reduction targets and advance towards net-zero energy. This could include tightening regulations on emissions , increasing efficiency standards , and leveraging technology to track and manage energy use more effectively.
Renewable Energy Integration: Encourage the adoption of electric vehicles (EVs) , expand solar energy installations, and other renewable energy sources to make the community's power supply 100% green. This involves upgrading infrastructure , providing incentives for residential and commercial solar systems, and possibly establishing community solar projects to increase accessibility.
2. Building and Construction Innovations
Energy Efficiency in New Buildings : Mandate higher energy efficiency standards for new construction that align with the latest advancements in green building technology. Implementing strict building codes that require significant energy savings and sustainable construction practices.
Electrification Incentives : Provide incentives for both new constructions and retrofitting existing buildings with electric heating and cooling systems to reduce dependence on fossil fuels.
Landscaping for Carbon Capture: Promote the planting of trees and the development of green spaces as a strategy to capture carbon, enhance urban biodiversity, and improve air quality .
3. Waste Management Transformation
Reduction and Recycling: Enforce stricter waste reduction policies, focusing on minimizing single-use plastics and enhancing recycling programs. Introduce incentives for businesses to adopt sustainable packaging and reduce the use of non-recyclable materials.
20. Sustainability Commiss ioners will need to consider social, economic and environmental issues when addressing sustainability policy issues. How does one achieve a balanced commun ity? Social , economic and environmental issues must be considered while addressing sustainability policy issues. They are the triple bottom line for a balanced community. For a balanced community the following should be considered
1.lntegrated growth:
Cross Sector collaboration: Fostering collaboration from the various sectors like the government sector, businesses, non-profit and educational institutions would help in creating a comprehensive policy benefiting from their collective experiences , expertise and diverse perspectives.
Holistic approach to urban planning : Incorporate sustainability in all aspects of urban planning like housing, open spaces, transportation and economic development so they can work together rather in isolation
2.Social Equity:
Inclusive community outreach : All sections of the community should be represented including the underrepresented and disadvantaged groups so all voices can be heard. Also specific needs of the community can be understood and addressed
Resource equity: Policies should be implemented in a way that clean water, clean energy, clean air, public transportation, healthcare and healthy food is accessible to the whole community.
Sustainability job creation and education : Steps taken that the sustainability skills education and job creation benefit across the community.
3. Economic sustainability:
Businesses should be encouraged by providing subsidies, tax incentives, or grants for companies investing in sustainable practices.
Industries building green products that benefit the community and help local economy should be supported.
Building resilient infrastructure : Adapting policies that will build resiliency to climate change, respond to drought, increasing flood levels , wild fires. This will build long term economic stability and safe communities The policies in place should benefit the community long term.
4. Environmental Sustainability
Conservation : Protecting open spaces and restoring natural habitats should be a part of economic growth Pollution : Implementing policies that reduce air, water pollution and invest in clean energy available equitably.
Waste management: Addressing waste by creating efficiency in using resources and mitigating environmental impact
5. Adaptive : Policies should be designed so they are adaptable and flexible with change Rev. 3/2023 Page 14 of 15
Attachment 3
Response to Ques�on 19 con�nued
Compos�ng and Organic Waste Management: Expand compos�ng programs to reduce landfill waste, par�cularly focusing on organic waste like food scraps, which can significantly reduce methane emissions from landfills.
4. Sustainable Water Prac�ces
Water Conserva�on Policies: Implement and enforce water-saving regula�ons that promote the use of reclaimed water, improve water use efficiency, and encourage recycling across all sectors.
5. Promo�on of Green Transporta�on: Public Transit and EV Infrastructure: Invest in public transit to reduce vehicular emissions and expand infrastructure for electric vehicles, such as charging sta�ons, to facilitate a shi� away from gasoline-powered vehicles.
6. Encouraging Green Industries: Incen�ves for Green Industry: Foster economic development in sectors that contribute to environmental sustainability. This could include suppor�ng startups and established businesses that focus on renewable energy, sustainable agriculture, or green building materials.
7. Educa�onal and Community Engagement Ini�a�ves: Awareness and Par�cipa�on: Launch educa�onal campaigns to raise awareness about sustainable prac�ces and encourage community par�cipa�on in sustainability ini�a�ves. This could involve partnerships with local schools, non-profits, and businesses.
8. Policy Development for Industrial Emissions: Regula�on of Greenhouse Gases: Develop policies to control and reduce emissions of potent greenhouse gases, such as fluorinated gases and methane, from industrial ac�vi�es, including capturing emissions from exis�ng landfills.
The commission should approach these ini�a�ves with an integrated strategy, coordina�ng across departments and sectors to ensure that policies are not only effec�ve but also equitable. Public input and scien�fic research should guide the decision-making process to adapt to changing environmental condi�ons and technological advancements. By focusing on these areas, the Sustainability Commission can lead the city toward a more sustainable and resilient future.
Attachment 3
Applica nt Name Maria Dohadwala
Demographic Information
** This voluntary Demographic Information is public information ** This information will help Coun cil meet its goal of ensuring that the Human Relations Commissi on as well as other boards and commissions reflects the demographic diversity of Sunnyvale residents.
Age:
D Under 18
□ 18-44
0 45-64
□ 65+
D Prefer Not to Answer
Gender:
0 Female
D Male
D Non-binary/Non-conforming
D Transgender
D Prefer Not to Answer
D Not Listed:
Do you identify as LGBTQIA+ :
D Yes
0 No
D Prefer Not to Answer
Race/Ethnicity: select all that apply.
□ White
D Black/African-American
D Asian
D Hispanic-Latinx/o/a/e
D Native American/Indigenous
D Native Hawaiian or Pacific Islander
D Prefer Not to Answer
0 Not Listed: Asian Indian
Do you speak a language other than English? If yes, please share Gujarati, Hindi Household Income:
D <$161,670 (median household income)
□ $161,670+
0 Prefer Not to Answer
Are you a:
D Renter
0 Homeowner
D Both (mobile homeowner)
D Prefer Not to Answer
D Not Listed:
Do you live in a:
D Apartment/Condo
0 Single Family Home
□ Mobile Home
D Prefer Not to Answer
D Not Listed:
Any other identities that you would like us to know about? Rev. 3/2023 Page 15 of 15
Attachment 3
crrv OF SUNNYVALE 0ffloe Use Only 4/13/24
BOARDS AND COMMISSIONS APPLICATION Date Received: __ _
The City supports its demographic diversity and encourages applicants from all groups to apply.
Voter registration verified:
Sunnyvale
On: _____ _
By:
Please print or type answers to all questions. Write NIA if not applicable.
General eligibility requirements: Sunnyvale residency. Other requirements may apply to specific boards and commissions.
For more information, contact the Office of the City Clerk via [email protected] or at 408-730-7483 or visit the City website at Sunnyvale.ca.gov and search ·Boards and Commission• Arts Commission
If you would Ilk• to apply for more than one vacancy,
place a number next to the board or commission, in order of your p...,_ence, for which you would like to apply.
__ Bicycle and Pedestrian Advisory Commission
__ Board of Library Trustees·
Only applications for current openings will be considered at this time. Applications for future openings will be kept on file for one year. Qualified applicants will be contacted for an interview with City Council. Appointments will be made at a regular meeting of the City Council.
__ Heritage Preservation Commission'
__ Housing and Human Services Commission
Human Relations Commission
Parks and Recreation Commission'
_ Personnel Board'
__ Planning Commission·
_y_ Sustainability Commission
'Registered Sunnyvale voter
If you are applying for the Bicyclf and ptclestrian Advisory Commission, please identify the category for which you are applying ..
...D. Category One: Applicants must be bicyclists or pedestrians residing in Sunnyvale . .r::::J.. Category Two: Applicants must have an interest in bicycle and/or pedestrian issues in the City, reside outside Sunnyvale and belong to one of the groups listed below. Please check as many that apply:
..c::l Parent Teacher Associations (PTA)/parent group member .c::::J.. Administrations of schools in Sunnyvale
.c:::J.. Commute coordinators for major employers within Sunnyvale .c:::J.. Principals or teachers from Sunnyvale schools
If you are applying for the Human Relations Commission, please identify the category for which you are applying:
..CJ.. category One: Applicants shall be Sunnyvale residents . .r:::::J. category Two: Applicants shall include representatives of a nonprofit service agency that serves Sunnyvale residents. Such members need not be Sunnyvale residents.
If you are applying for the Sustainability Commission, please identify the category for which you are applying . ..r::xl. Category One: Applicants shall be Sunnyvale residents . ..CJ.. category Two: Applicants shall include members of the Sunnyvale business community'. Such members need not be Sunnyvale residents.
Applicant Name:
Current Residence
E-mail Address:
Rev. 312023
·sunrtfVae business license holders; or designated mp,esertafive of SunrtfVale businesses with 200 or mom employees. -/0H1ts2- ''TDMt:K. ''
First
.SvN rJ'(VAI.£ CA-
State
p
Zip
Attachment 3
1. Are you a currently-registered voter in Sunnyvale?
Yes (S2':1 No D
Applicant Name -r,;-wv,.:, Z- ;;fo=sJo.,,._,,/?j
When was the last time you voted?
Month Select f I Year 2 0 2. L
2. Are you currently serving or have you served on a City of Sunnyvale board or commission? Yes C7 No Cxl
If yes, which one? Term currently serving
-------------
-------------
Term previously served
3. Prior attendance at a board or commission meeting is highly desirable. Have you attended meeting(s) of the board or commission for which you are applying?
Yes [?9 No D
If yes, how many meetings have you attended?
> S- : o~~ ~-- fevsOI(\ , 5e>J~ o\l\. 30~+ ... b(, l'}-l.c.o...--l~~lJ NOTE: If you are applying for more than one board or commission, please reference the specific board or commtssion in your response to questions 4-7.
C,cvYboll\
5 LA-S-h._1-~ok.,\ LJ 7
5. 'Mlat skills or attributes can you bring to this board or commission? ·pe.o r le_ Vn~v\.o.8e~
Co (,A'\ tMU i,J~OtA-J
6 ,~(v.U n"cr / Mevf-~
'Po--s:, Joc,_ ti·,-- e.,.,v c';-o ~
-fC=~ldr, o} GA Bl e,o..,&,.,__
Rev. 3/2023 Page 2 of 15
Attachment 3
~
Applicant Name ID 1/4¼--a,....
6. The primary role of a board or commission member is to provide advice to City Council on policy issues that are "thin the scope of that board or commission. With this in mind, what steps would you take to effectively exercise this specific board or commission role?
- / 'Q%.'ew J ~v:k_ ~kl I S'1~e.Ji.~s I of fvo.,s /.
l}e..,s? l0L ~.:) l:j l
1 s s vt.es-
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01 0"' •
Attachment 3
...
- & I / Applicant Name /O WIA.SZ-- 9-5 O,tOtJ ~
10. Describe your involvement in community activities, volunteer and civic organizations. 1 Vo \_uJw., J,_ w.wL ~ l0y wJJl
Cor 0~ ~'"'d~.,LJJLJ~ r0 - . I v~C.,kvul .,.J/ rt.. CCL { Cc h'~ Cl<".,._,J,_ LU,}_ -1--, r.,.,__,k_ 1 l n, I 1 ~ lL<..Ce....- c,..., vb ·> IA ~J.1 t'"' Jk US -n,,) s l L c.L_JJ t v\,V r }o..tw~ ~ ~ u , we,e,k.-C, "Fo,v.,.....e,v 's ~v-u boofl VCJ eu evl1
11. The City has a Code of Ethics and Conduct for Elected and Appointed Officials and an Attendance Policy {7.2.19). 2.G.(11) that appointed members are required to follow. Do you have any concerns in these two a/eas? Yes Fl No CxJ
If so, please describe.
M VDlu~ ~ '4,/oJi_ b~ ~WU ~ evt-~G""'P &-V\_J w~e-lc .. c.--.is ~ -/;~ ~- G
12. If an unplanned vacancy arises on the board(s) or commission(s) you are interested in, would you be willing to accept a temporary appointment for the remainder of the unexpired term or until a recruitment is held and Council officially fills the vacancy?
Yes tzJ No CJ
IMPORTANT NOTICES - READ BEFORE SIGNING:
All information provided on this application becomes a public record after it is officially filed. This document will be published to the City website with the interview materials . Personal contact information will be redacted.
Applicants appointed to the Planning Commission, Arts Commission, Heritage Preservation Commission and Housing and Human Services Commission are required to electronically file the Fair Political Practices Commission (FPPC) Statement of Economic Interests (Form 700), which is a public record. The Form 700 reports your economic interests and your spouse/domestic partner's economic interests (if applicable). A copy of this form is available in the Office of the City Clerk or by visiting www.fppc .ca.gov/Form700.html Pursuant to the Americans with Disabilities Act (ADA), the City of Sunnyvale will make reasonable efforts to accommodate persons with qualified disabilities during the boards and commission interview process . Should you require special accommodations, please contact the Office of the City Clerk via [email protected] or at 408-730-7483 at least five days in advance of your scheduled interview.
I certify under penalty of perjury that all statements I have made on this application are true and correct. I hereby authorize the City of Sunhyvale to investigate the accuracy of this information from any person or organization, and I release the City of Sunnyvale and all persons and organizations from all claims and liabilities arising from such investigation or the supplying of information for such investigation. I acknowledge that any false statement or misrepresentation on this application or supplementary materials will be cause for refi:1saI of appointment or immediate dismissal at any time during the period of my appointment.
Your application is not complete until It Is signed and submitted to the Office of the City Clerk.
Complete all above fields, the Supplemental Questionnaire and Demographic Information prior to signing this . document. Applying your digital signature locks the information you entered, preventing further edits.
Signature of Applicant . --r,;-IN¼LS L. f 5Jo vWW ilZJ Date 4 / Z 2(2 3 Please return to: Office of the City Clerk, 466 W.~e Ave., P.O. Box 3707, Sunnyvale, CA 94088-3707 or emall to [email protected]
Rev. 3/2023 Page4 of 15
Attachment 3
r
Sustainability Commission
Applicanl Name ) _;-.,._'1...-f:5 w.;
We are looking for someone who has Demonstrated interest in environmental sustainability issues
19. Sustainability is a new and emerging issue in many communities. What do you think are the primary sustainability policy issues this commission will be addressing over the next fe-11 years? Co-.rbo~ e,(/\1\,~ssks v~l cJ~ c--~~ ,'ss~5
Rev. 3/2023 Page 14of 15
Attachment 3
Applicant Name {w,.,,,5 .,_ ~""""° ~;{:_,
Demographic Information
This voluntary Demographic Information is public information This information will help Council meet its goat of ensuring that the Human Relations Commission as well as other boards and commissions reflects the demographic diversity of Sunnyvale residents.
Age:
D Under 18
0 18-44
(&' 45-64
0 65+
D Prefer Not to Answer
Gender:
D Female
IS( Male
D Non-binary/Non-conforming
D Transgender
D Prefer Not to Answer
D Not Listed:
Do you identify as LGBTQIA+ :
D Yes
12:1 No
D Prefer Not to Answer
Race/Ethn.icity: select all that apply.
□ VVhite
0 Black/African-American
D Asian
D Hispanic-Latinx/o/a/e
D Native American/Indigenous
D Native Hawaiian or Pacific Islander
~ Prefer Not to Answer
D Not Listed:
Do you speak a language other than English? If yes, please share JtcvL-,1 t:AN\. 1 Yo LJ S k Household Income:
0 <$161,670 (median household income)
0 $161,670+
3 Prefer Not to Answer
Are you a:
D Renter
OJ Homeowner
D Both (mobile homeowner)
O Prefer Not to Answer •
O Not Listed:
Do you llve In a:
D Apartment/Condo
[8 Single Family Home
D Mobile Home
D Prefer Not to Answer
D Not Listed:
Any other identities that you would like us to know about? Rev. 3/2023 Page 15 of 15
Attachment 3
Rev. 3/2023
City of Sunnyvale
Incumbent Board and Commission Member
Request for Reappointment Consideration
Only incumbents seeking reappointment to the same board/commission may use this form Office Use Only
Date Received: __________
Voter registration verified:
On: ____________________
By: ____________________
Please print or type answers to all questions. Write N/A if not applicable.
Please accept my request to be reappointed to:
Applicant Name:
Last First M.I.
Current Residence
S treet City State Zip
E-mail Address:
Preferred Contact Phone Number(s):
1. Are you a currently-registered voter in Sunnyvale?
Yes _ _ No _ __
When was the last time you voted?
Month _ ___ Year ______
2. Length served on current
board/commission?
3. Have you served previously on other City boards or commissions? Yes _ _ No _ __
If yes, which one? Term currently serving
Term previously served
4. New information about my qualifications that I would like Council to know:
Veitch
Tonya
L
Sunnyvale
CA
94085
Sustainability Commission
March
2024
✔
✔
4 Years
During my tenure as a Sustainability Commissioner, I've actively contributed to various projects and initiatives within the Commission, showcasing my leadership, teamwork, and problem-solving abilities. Here are some highlights:
(1) Since 2023, I've served as the Vice Chair of the Sustainability Commission, taking on a leadership role within the Commission.
(2) Since 2021, I've been part of the Sustainability Speaker Series, which aims to connect our community with leading experts in sustainability and resilience. My goal is to offer our diverse residents access to innovative ideas and empower them with the tools and resources to integrate sustainable practices into their daily lives and work. (3) Hosted several Commissioner presentations to raise awareness to important topics such as Resilience Hubs and youth engagement in the sustainability movement.
(4) Played an active role in the development of Game Plan 2028, ensuring that our Climate Action Plan aligns with our carbon neutrality goals while prioritizing environmental justice and resilience.
In addition to my Commission work, my experience as a Senior Sustainability Analyst with the County of Santa Clara Office of Sustainability has provided valuable insights and expertise. For instance, I am the first staff liaison to the newly formed Santa Clara County Sustainability Commission, offering a unique perspective that enhances my service as a Sunnyvale Sustainability Commissioner.
~'~ a...;::: ~
..
Sunnyvale
-f------------------
-
Attachment 3
Applicant Name______________________
Rev. 3/2023 Page 2 of 3
5. Reasons I wish to be reappointed:
6. Additional Information:
IMPORTANT NOTICES – READ BEFORE SIGNING:
All information provided on this application becomes a public record after it is officially filed. This document will be published to the City website with the interview materials. Personal contact information will be redacted.
Applicants appointed to the Planning Commission, Arts Commission, Heritage Preservation Commission and Housing and Human Services Commission are required to electronically file the Fair Political Practices Commission (FPPC) Statement of Economic Interests (Form 700), which is a public record. The Form 700 reports your economic interests and your spouse/domestic partner’s economic interests (if applicable). A copy of this form is available in the Office of the City Clerk or by visiting www.fppc.ca.gov/Form700.html Pursuant t
o the Americans with Disabilities Act (ADA), the City of Sunnyvale will make reasonable efforts to accommodate persons with qualified disabilities during the boards and commission interview process. Should you require special accommodations, please contact the Office of the City Clerk via [email protected] or at 408-730-7483 at least five days in advance of your scheduled interview.
I certify un
der penalty of perjury that all statements I have made on this application are true and correct. I hereby authorize the City of Sunnyvale to investigate the accuracy of this information from any person or organization, and I release the City of Sunnyvale and all persons and organizations from all claims and liabilities arising from such investigation or the supplying of information for such investigation. I acknowledge that any false statement or misrepresentation on this application or supplementary materials will be cause for refusal of appointment or immediate dismissal at any time during the period of my appointment.
Your application is not complete until it is signed and submitted to the Office of the City Clerk.
Signature of Applicant Date
Applying your digital signature locks the information you entered on this application, preventing further edits.
Please return to: Offi ce of the City Clerk, 456 W. Olive Ave., P.O. Box 3707, Sunnyvale, CA 94088-3707 or email to [email protected]
Tonya Veitch
I am deeply committed to the Sustainability Commission's mission and goals, and I believe my reappointment is vital for our continued progress. Ensuring diversity, equity, and inclusion within the Commission is a priority for me. I'm committed to making sure all voices, especially those from marginalized communities and businesses, are heard and engaged on sustainability issues. I'm particularly enthusiastic about contributing to the implementation of the upcoming Game Plan 2028. Advising the City Council on the City's Climate Action Plan will allow me to leverage my expertise and dedication to furthering sustainability goals.
Given my tenure as a Commissioner and current role as Vice Chair, I'm eager to continue supporting Chair Kunz and my colleagues in their endeavors. I'm also excited about facilitating connections between the city and impactful programs like BayREN's Water Upgrades Save to helps homeowners and single-family renters install water and energy efficient upgrades - like high-efficiency toilets, showerheads, and aerators. Furthermore, I'm enthusiastic about my role in the Sustainability Speaker Series. Crafting themes and topics that raise awareness and empower our community to take action on sustainability is a responsibility I embrace wholeheartedly.
I have a demonstrated track record of attendance and active participation in Commission meetings, the Sustainability Speaker Series subcommittee, and community events, consistently fulfilling my duties and responsibilities as a Commissioner.
I am deeply invested in the long-term success and sustainability of our community and am honored to have the opportunity to contribute my time, energy, and expertise to this important cause for another term.
Thank you for your consideration.
4/25/2024
Attachment 3
Applicant Name Tonya Veitch
Demographic Information
** This voluntary Demographic Information is public information ** This information will help Council meet its goal of ensuring that the Human Relations Commission as well as other boards and commissions reflects the demographic diversity of Sunnyvale residents.
Age:
D Under 18
1Z1 18-44
□ 45-64
□ 65+
D Prefer Not to Answer
Gender:
IZI Female
D Male
D Non-binary/Non-conforming
D Transgender
D Prefer Not to Answer
D Not Listed:
Do you identify as LGBTQIA+ :
D Yes
IZI No
D Prefer Not to Answer
Race/Ethnicity: select all that apply.
IZI White
D Black/African-American
D Asian
IZI Hispanic-Latinx/o/a/e
D Native American/Indigenous
D Native Hawaiian or Pacific Islander
D Prefer Not to Answer
D Not Listed:
Do you speak a language other than English? If yes, please share Household Income:
IZ) <$161,670 (median household income)
□ $161,670+
D Prefer Not to Answer
Are you a:
IZ) Renter
D Homeowner
D Both (mobile homeowner)
D Prefer Not to Answer
D Not Listed:
Do you live in a:
D Apartment/Condo
IZ) Single Family Home
D Mobile Home
D Prefer Not to Answer
D Not Listed:
Any other identities that you would like us to know about? Rev. 3/2023 Page 3 of 3
Attachment 3
CITY OF SUNNYVALE Office Use Only
~'~ ...:: ~ BOARDS AND COMMISSIONS APPLICATION Date Received: 03/29/24 .. The C;ty supports its demographic diversity and encourages applicants from all groups to apply.
Voter registration verified:
On: ______ _
Sunnyvale By: ______ _
Please print or type answers to all questions. Write N/A if not applicable.
General eligibility requirements: Sunnyvale residency. Other requirements may apply to specific boards and commissions.
For more information, contact the Office of the City Clerk via cityclerk@sunnyva le.ca.qov or at 408-730-7 483 or visit the City website at Sunnyvale .ca.gov and search "Boards and Commission" Arts Commission
If you would like to apply for more than one vacancy,
place a number next to the board or commission, in order of your preference, for which you would like to apply.
__ Bicycle and Pedestrian Advisory Commission
__ Board of Library Trustees·
__ Heritage Preservation Commission·
Only applications for current openings will be considered at this time. Applications for future openings will be kept on file for one year. Qualified applicants will be contacted for an interview with City Council. Appointments will be made at a regular meeting of the City Council.
__ Housing and Human Services Commission
Human Relations Commiss ion
Parks and Recreation Commission·
Personnel Board*
__ Planning Commission·
_ 1_ Sustainability Commission
*Registered Sunnyvale voter
If you are applying for the Bicycle and Pedestrian Advisory Commission, please identify the category for which you are applying .
.r:::::J.. Category One: Applicants must be bicyclists or pedestrians residing in Sunnyvale . .r:::::J.. Category Two: Applicants must have an interest in bicycle and/or pedestrian issues in the City, reside outside Sunnyvale and belong to one of the groups listed below. Please check as many that apply:
__ Parent Teacher Associations (PTA)/parent group member __ Administrations of schools in Sunnyvale
__ Commute coordinators for major employers within Sunnyvale __ Principals or teachers from Sunnyvale schools
If you are applying for the Human Relations Commission, please identify the category for which you are applying:
.r:::::J.. Category One: Applicants shall be Sunnyvale residents . .r:::::J.. Category Two: Applicants shall include representatives of a nonprofit service agency that serves Sunnyvale residents. Such members need not be Sunnyvale residents.
If you are applying for the Sustainability Commission, please identify the category for which you are applying . .r::z::1 Category One: Applicants shall be Sunnyvale residents . .r:::::J.. Category Two: Applicants shall include members of the Sunnyvale business community*. Such members need not be Sunnyvale residents.
• Sunnyvale business license holders; or designated representative of Sunnyvale businesses with 200 or more employees.
Applicant Name: Parenteau Richard s
Last First M.I.
Current Residence _ __________ S_u_nn~y._v_a_le ______ C_A ________ 9_4_0_8_7 __ _ Street City State Zip
E-mail Address:
Preferred Contact Phone Number(s):
Rev. 3/2023
Attachment 3
1. Are you a currently-registered voter in Sunnyvale?
App lica nt Name R ichard S. Parenteau
When was the last time you voted?
Yes _[ZJ_ No r::J
Month March Year 2024 -------
2. Are you currently serving or have you served on a City of Sunnyvale board or commission? Yes _r::J.... No IT]
If yes, which one? Term currently serving
------------------------------ Term previously served
3. Prior attendance at a board or commission meeting is highly desirable. Have you attended meeting(s) of the board or commission for which you are applying?
Yes _r::J.... No ...r::z:l_
If yes, how many meetings have you attended?
NOTE: If you are applying for more than one board or commission , please referen ce the specific board or commission in your response to questions 4-7.
4. What motivated you to apply for this board or commission? I am a longtime advocate for addressing climate change with individual and city improvements that move away from carbon-based energy toward renewable solutions. Specifically heat pumps, solar electric arrays, electric vehicles with battery or fuel-cell energy sources , local energy storage and charging to reduce strain on the grid. Further, a focus on charging/refueling of electric vehicles for multi-unit dwellings is a priority in my opinion.
I encourage approaches for commercial transportation, buses/trucks/trams/trains, to convert to electric drive with either battery or fuel-cell energy sources. Also, I am an advocate for arranging for available charging/fueling stations for commercia l transportation in suitable locations to promote and enable both local and longer distance transportation vehicles to serve the entire Sunnyvale community , for both commercial and private vehicles .
5. What skills or attributes can you bring to this board or commission? I have implemented a number of these technolog ies in my personal life. I am familiar with many of the technical requirements for installation and safety for these technologies. At the request of legislative people have researched and provided information and advice to them on the application of no carbon energy in industrial, commercial and persona l applications beginning in 2019. I have been told this information helped inform their legislative activities, including their suggest ions to the Department of Energy as subsequent ly represented in the Inflation Reduction Act. Having collected this information , I wanted to make the questions and answers available in accessib le summary form to the public and students in the Fremont Union High School District climate studies programs. Please see the web-site:
www.noca rbonfue l.org to learn more about my advocacy for no carbon energy alternatives.
Further, I have experience in activities that include manufacturing, building renovation, electrical, plumbing, and commercia l building energy/water systems that may be useful in some sustainability discussions.
Warm regards , Richard S. Parenteau
Rev. 3/2023 Page 2 of 15
Attachment 3
Applicant Name______________________
Rev. 3/2023 Page 3 of 15
6. The primary role of a board or commission member is to provide advice to City Council on policy issues that are within the scope of that board or commission. With this in mind, what steps would you take to effectively exercise this specific board or commission role?
7. Education: List college degrees and majors, and any relevant training or experience that demonstrates your ability to effectively serve on this board or commission.
8. Briefly describe your current or last occupation.
9. Briefly describe what you learned by attending a meeting of the City Council, board or commission. Describe what improvements you would suggest the City consider.
Richard S. Parenteau
Currently member of board of directors of Applied Science (https://www.applied-science.com/) I have attended multiple meetings and presented my thoughts and concerns at some meetings. I agree with the importance of thoughtful consideration of citizen input about their concerns. The need for a long-term plan crossing several budget cycles. Approaches for incremental improvement rather than large scale large risk approaches. The need to collaborate with other regional cities to coordinate planning and take advantage of risk sharing and cost discounts from larger scale joint projects. I believe the city has opportunities for EV charging focused on multi-unit dwellings. I believe the city needs to consider at the appropriate time how to best leverage autonomous self-driving vehicles to reduce the need for as many individual vehicles. There are opportunities for some citizens to utilize their EVs for energy storage to reduce peak energy requirements. Other important issues needing attention are related to clean water, recycled water, waste management and mitigation of air pollution with sensitivity to Environmental Justice issues.
I want to participate in public meetings to listen to input from community members and their priorities. Particularly, to participate on subjects requested by the City Council in research and preparation of alternatives and recommendations material for consideration in public meetings. This work leading to submission of this informed material for the consideration of the City Council.
University of Kansas BS Business with Computer Science emphasis, MBA Finance and Accounting, UCLA Executive education program leading to paper published at UCLA and in the Mergers and Acquisitions Journal. Six patents in medical technology.
Career in Technology. Ford Motor Company, plant floor manufacturing at General Motors, factory automation at Alcoa Aluminum, Cisco Systems product release operations combining software with hardware and product validation. Energy manaaement svstems for commercial buildinas. Smart ohone medical aoolications. remote svstems for medical home D Attachment 3
Applicant Name Richar d S. Parenteau
10. Describe your involvement in commun ity activities, volunteer and civic organizations.
My wife Gretchen Rooker (Dr. G) and I are long time active members of the Fremont High School commun ity. We were the high school's sports photographers for 18 years , until Covid , and for the past 10 years Gretchen is a volunteer adult tutor in the AVID and ALEKS programs . In addition , our family foundation continues to make contr ibutions to Fremont HS and to the FUHD Foundation in support of various activities. I am offering the use and modification, as needed and at my expense, of my website NoCarbon Fuel.org for use in the upcoming climate curricu lum that teachers and students are developing in the Summer of 2024 intended for optional use the District High Schools next school year. Our son Michael is a graduate of Fremont HS and with the excellent preparation from Fremont was able to proceed to UCLA and then to complete both MD and JD graduate programs. He is currently active military serving in the Navy. 11 . The City has a Code of Ethics and Conduct for Elected and Appo inted Officials and an Attendance Policy (7.2.19}. 2.G.(11) that appointed members are required to follow. Do you have any concerns in these two areas? Yes ...r:::::]_ No _IT]_
If so, please describe.
12. If an unplanned vacancy arises on the board(s) or commission(s) you are interested in, would you be willing to accept a temporary appointment for the remainder of the unexpired term or until a recruitment is held and Council officially fills the vacancy?
Yes [77 No C7
IMPORTANT NOTICES - READ BEFORE SIGNING :
All information provided on this application becomes a public record after it is officially filed. This document will be published to the City website with the interview materials. Personal contact informat ion will be redacted.
Applicants appointed to the Planning Commission , Arts Commission , Heritage Preservation Commission and Housing and Human Services Commission are required to electron ically file the Fair Political Practices Commission (FPPC) Statement of Econom ic Interests (Form 700), which is a public record. The Form 700 reports your econom ic interests and your spouse/domestic partner 's econom ic interests (if applicable). A copy of this form is available in the Office of the City Clerk or by visiting www.fppc.ca.gov /Form700 .html Pursuant to the Amer icans with Disabilities Act (ADA), the City of Sunnyvale will make reasonab le efforts to accommodate persons with qua lified disabilities during the boards and comm ission interview process. Should you require specia l accommodations, please contact the Office of the City Clerk via cityclerk@sunnyva le.ca.qov or at 408-730-7 483 at least five days in advance of your scheduled interview.
I certify under penalty of perjury that all statements I have made on this application are true and correct. I hereby authorize the City of Sunnyvale to investigate the accuracy of this information from any person or organization, and I release the City of Sunnyvale and all persons and organizations from all claims and liabilities arising from such investigation or the supplying of information for such investigation. I acknowledge that any false statement or misrepresentation on this application or supplementary materials will be cause for refusal of appointment or immediate dismissal at any time during the period of my appointment.
Your application is not complete until it is signed and submitted to the Office of the City Clerk.
Complete all above fields, the Supplemental Questionnaire and Demographic Information prior to signing this document. Applying your digital signature locks the information you entered, preventing further edits.
Digitally ~ned by H iaosolt Your Phone
= :: I~~~~~~docu mert
Signature of Applicant ~,•b-."'.:f?.s~t2~...2.\';~~cfs~ 3• 761 Date 3/29/2024 ---------
PI ease return to: Office of the City Clerk , 456 W. Olive Ave., P.O. Box 3707, Sunnyvale , CA 94088-3707 or email to [email protected]
Rev. 3/2023 Page 4 of 15
Attachment 3
Applicant Name______________________
Rev. 3/2023 Page 14 of 15
Sustainability Commission
We are looking for someone who has Demonstrated interest in environmental sustainability issues
19. Sustainability is a new and emerging issue in many communities. What do you think are the primary sustainability policy issues this commission will be addressing over the next few years?
20. Sustainability Commissioners will need to consider social, economic and environmental issues when addressing sustainability policy issues. How does one achieve a balanced community? Richard S. Parenteau
I am a longtime advocate for addressing climate change with individual and city improvements that move away from carbon-based energy toward renewable solutions. Specifically heat pumps, solar electric arrays, electric vehicles with battery or fuel-cell energy sources, local energy storage and charging to reduce strain on the grid. I have implemented a number of these in my personal life.
I recognize that Sustainability is more than clean energy and includes clean water, waste management and mitigation of pollution sources. It is important to plan staged approaches to making changes and that the changes be implemented so the impact on individuals and businesses are managed in a responsible way on a reasonable schedule. I also recognize that meaningful progress on these issues desirable so innovation is needed to minimize delay while maintaining needed review and consideration of multiple viewpoints. I expect this will involve more effort by the commission members to facilitate progress that increases the value of public meetings and demonstrates to the public our commitment to responsible progress.
An important area for consideration is collaboration with similar initiatives in neighboring cities and the county to look for for opportunities to reduce risk and leverage purchasing power to reduce costs. The strategic location of some resources where there is potential for combined use may be helpful to consider. All of the cities in the area have climate strategies. I have reviewed these and noticed that some are actively being pursued and others appear to be more dormant. We may be able to collaborate in ways that help all of us to move forward more successfully.
An important consideration is promoting social involvement of interested young people. There is a energetic active climate and sustainability group called FUHSD Climate Collective involving students and teachers from the five high schools. We should seek out other similar interested young people to hear their input.
An unresolved challenge is people living in multi-unit dwellings with limited access to sustainability services and related financial incentives that are more easily available to single family homes. These multi-unit residents needs and input should be included in balanced approaches to improvement proposals for: 1) sustainable energy to these residences and their vehicles, 2) clean air and water and 3) waste reduction. I believe it is important to serve the entire Sunnyvale community.
I have implemented a number of these technologies in my personal life. I am familiar with many of the technical requirements for installation and safety for these technologies. At the request of legislative people, I have researched and provided information and advice to them on the application of no carbon energy in industrial, commercial and personal applications beginning in 2019.
A balanced approach considers the social, economic and environmental issues while encouraging simple approaches for busy people to access the benefits available to them. My personal experience in some cases has been painful, difficult, frustrating access to some of these benefits. This is in spite of the best intentions of organizations trying to help help in these areas. It could be useful for the sustainability commission to promote including an ease-of-access score with the information about the available benefits. I think it is worth exploring public input to gauge interest in adding this score, and then with interest established how this may be initiated.
Warm regards, Richard S. Parenteau
Attachment 3
Applicant Name Richar d S. Parenteau
Demographic Information
** This voluntary Demographic Information is public information ** This inform ation will help Coun cil meet its goal of ensuring that the Human Relati ons Commissi on as well as other boards and commissions reflects the demographic diversity of Sunnyvale residents.
Age:
D Under 18
□ 18-44
□ 45-64
0 65+
D Prefer Not to Answer
Gender:
D Female
0 Male
D Non-binary/Non-conforming
D Transgender
D Prefer Not to Answer
D Not Listed:
Do you identify as LGBTQIA+ :
D Yes
□ No
0 Prefer Not to Answer
Race/Ethnicity: select all that apply.
□ White
D Black/African-American
D Asian
D Hispanic-Latinx/o/a/e
D Native American/Indigenous
D Native Hawaiian or Pacific Islander
0 Prefer Not to Answer
D Not Listed:
Do you speak a language other than English? If yes, please share Household Income:
D <$161,670 (median household income)
□ $161,670+
0 Prefer Not to Answer
Are you a:
D Renter
0 Homeowner
D Both (mobile homeowner)
D Prefer Not to Answer
D Not Listed:
Do you live in a:
D Apartment/Condo
0 Single Family Home
□ Mobile Home
D Prefer Not to Answer
D Not Listed:
Any other identities that you would like us to know about? Rev. 3/2023 Page 15 of 15
Attachment 3