City of Thousand Oaks Boards & Commissions
Application Form
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Solicitantes que necesiten asistencia en español, por favor llamen al (805) 449-2151.
Dorothy Sullivan
First Name Last Name
Primary Phone Alternate Phone
Street Address Suite or Apt
Newbury Park CA 91320
City State Postal Code
Email Address
Please note: Resolution No. 2003-105 Sec. 17, Duplicate Appointment, provides that unless specifically authorized by City Council, no citizen may serve on more than one standing Citizen Board, Commission or Committee.
How did you learn of this vacancy?
Email from Anna Huber.
Occupation/Work History - Check all applicable: *
Employed
Giant Bicycles, Inc Gear Specialist
Employer Job Title
N/A N/A
Additional Employer Additional Job Title
Must be a City resident. Are you a resident of Thousand Oaks? Yes
ATTACHMENT #1
Interests & Experiences
Why are you interested in serving on this board/committee and what do you believe you can contribute?
As an outdoor enthusiast and current COSTAC member, I support the preservation of our open space.
Stewardship of natural resources and accessibility for user groups is a delicate balance. I am a hiker (with dog) and a mountain biker, regularly fielding questions from other trail users about the Conejo Open Space. I believe my extensive network among these user groups makes me an ideal representative of the public.
Please list all relevant experience supporting appointment to this board.
Bachelor's Degree in Biological Sciences. Previously held a Scientific Collecting Permit with Department of Fish and Wildlife. Certified Trail Crew Leader. Extensive knowledge of the COSCA trail system through numerous volunteer hours with Trails Education Days, Trail Work Days, Adopt-a-Trail program, Trail Watch, and Trail Outreach. Further experience listed below.
Please list current and past involvement with civic, volunteer and non-profit organizations, including City boards/committees, and the dates of activity.
COSTAC 2015-present
COSF 2015-2018
COSCA Trail Naming Committee 2018-present
Sapwi Bike Park Committee 2017-present
NPS Bark Ranger 2017-present
Conejo Off Leash Areas Board 2015-2017
NPHS MTB Team Boosters Board 2015-2020
Conejo Valley Kiwanis Board 2011-2015
Certification
Please agree with the following statements
That all information in this application is complete, truthful, and accurate to the best of my knowledge.
If appointed, I understand it is my responsibility to notify the City of changes that would affect my membership on the board.
I recognize that Board membership requires my attendance at meetings and/or events. I am willing and able to make this commitment of time and effort to serve.
I understand that the Public Records Act (PRA) allows for public review of this application.
I am not an official or employee of the City of Thousand Oaks.
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above statements.
Agree
Electronic Signature - Please type your First and Last name Dorothy Sullivan
Are you a resident of Thousand Oaks or reside within the Conejo Recreation & Park District boundary?
Yes
If appointed, I understand that I will be required to file a Conflict of Interest Statement (Form 700) pursuant to Fair Political Practices Commission regulations with the Ventura County Clerk of the Board.
531-20\bs H:\COMMON\COSCA\Board Meeting Records-Info (531-20)\Public Member\2023 Public Member Selection\Council Actions\Attachment 1 2023 COSCA Private Citizen Member Application Sullivan.pdf