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: __________
Voter registration verified:
On: ___________________
By: ___________________
Pleas e 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” 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.
_____ Cat
egory 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:
_____ Par
ent 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:
_____ Cat egory 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. _____ Cat egory One: Applicants 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 employees.
Applicant Name:
Last Firs t M.I.
Current Residence
Street Cit y State Zip
E-mail Address:
Preferred Contact Phone Number(s):
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? Attachment 3
Select
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. Educa
tion: List college degrees and majors, and any relevant training or experience that demonstrates your ability to effectively serve on this board or commission.
8. Brief
ly describe your current or last occupation.
9. Briefly des
cribe what you learned by attending a meeting of the City Council, board or commission. Describe what improvements you would suggest the City consider.
Attachment 3
Applicant Name______________________
Rev. 3/2023 Page 4 of 15
10. Describe your involvement in community activities, volunteer and civic organizations.
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 me mbers 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 ______
IMPO
RTANT 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.
Applic
ants 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 Pursuan
t 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 cer
tify 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]
Attachment 3
Rev. 3/2023 Page 5 of 15
SUPPLEMENTAL QUESTIONNAIRE
Note: Please respond only to questions that pertain to your selected board(s) or commission(s).
Arts Commission
We are looking for someone who has
• Intere
st in the visual, performing or literary arts
• Interest in the art programs of the City
• Background in visual or performing arts
1. I understand that if I am appointed to Arts Commission, I will be required to electronically file the Fair Political Practices Commission (FPPC) Statement of Economic Interests (Form 700) that reports my economic inter ests and my spouse/domestic partner’s economic interests (if applicable), which is a public record? Yes ______ No ______
A copy of this form is available by visiting www.fppc.ca.gov/Form700.html
2. In what ways could the City strengthen art programs in the community? Applicant Name______________________
Attachment 3
Rev. 3/2023 Page 6 of 15
Applicant Name______________________
Bicycle and Pedestrian
Advisory Commission
We are looking for someone who has interest in bicycle and pedestrian issues
3. Like many cities in Santa Clara County, Sunnyvale is faced with problems stemming from traffic congestion and air pollution. Suggest ways the City can improve facilities for bicyclists and pedestrians and i mprove educat ion and s afety programs for motorists, bicyclists and pedestrians?
Attachment 3
Rev. 3/2023 Page 7 of 15
Applicant Name______________________
Board of Library Trustees
We are looking for someone who has interest in Library-related issues
4. Community demographics and technology are constantly changing. What do you think are the principal issues the Sunnyvale Public Library may be addressing over the next few years? Attachment 3
Rev. 3/2023 Page 8 of 15
Applicant Name______________________
Heritage P
reservation Commission
We are looking for someone who has interest in the preservation of historic resources
5. I understand that if I am appointed to Heritage Preservation 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 econ omic interests (if applicable), which is a public record? Yes ______ No ____ __
A copy of this form is avai lable by visiting www.fppc.ca.gov/Form700.html
6. What historical features or structures in our community do you think are at risk? What course can the City take to preserve them?
7. What factors would influence your recommendation to preserve a particular building or site? Attachment 3
Rev. 3/2023 Page 9 of 15
Applicant Name______________________
Housing and Human Services Commission
We are looking for someone who has demonstrated interest in housing and human services issues
8. I understand that if I am appointed to Housing and Human Services Commission, I will be required to electronically file the Fair Political P ractices C ommission (FPPC) S tatement of Economic I nterests (Form 700) that reports my economic interests and my spouse/domestic partner’s economic interests (if applicable) , which is a public record ? Yes ______ No ______
A copy o
f this form is available by visiting www.fppc.ca.gov/Form700.html
9. Evaluate the quality and adequacy of the housing programs that serve the Sunnyvale community.
10. Evaluate the quality and availability of the human services programs that serve the Sunnyvale community.
Attachment 3
Applicant Name______________________
Rev. 3/2023 Page 10 of 15
Human Relations Commission
We are lo
oking 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?
Attachment 3
Rev. 3/2023 Page 11 of 15
Applicant Name______________________
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 Commissi on may be addressing over the next few years?
Attachment 3
Applicant Name______________________
Rev. 3/2023 Page 12 of 15
Personnel Board
Additional eligibility requirements for Personnel Board - Please check Yes or No for each question:
YES NO YES NO
I hold public office or
employment
I have a spouse, household member, or
designated relative (parent, step-parent,
grandparent, child, sister, brother, niece,
nephew, uncle, or aunt of the individual
or of the individual's spouse), employed by
the City of Sunnyvale in a position which
has the right to have a disciplinary matter
heard before the Personnel Board.
I am a candidate for
another public office or
position
I am a former City
employee
14. Please describe your experience and responsibilities in the administration of employee discipline.
15. Please describe your experience and responsibilities in the administration of em ployee grievances.
Attachment 3
Applicant Name______________________
Rev. 3/2023 Page 13 of 15
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 Eco nomic Interests (Fo rm 700) that reports my economic interests and my spouse/domestic partner’s economic interests (if applicable) , which is a public record? Yes ______ No ______
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?
18. Planning Commis sioners are often asked to consider social, economic and environmental issues when reviewing proposals. How does one achieve a balanced community?
Attachment 3
Rev. 3/2023 Page 14 of 15
Applicant Name______________________
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 Commissioner s will need to consider social, economic and environmental issues when addressing sustainability policy issues. How does one achieve a balanced community? Attachment 3
Rev. 3/2023 Page 15 of 15
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 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?
Attachment 3