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ATTACHMENT #1
Community Funding Review Committee Application
Please use the latest version of the Google Chrome browser on a computer, when submitting this form In compliance with the Americans with Disabilities Act, if you need special assistance to read this application, please contact the City Clerk Department (805) 449-2151.
First name:*
Last name:*
Cell phone:*
Alternate phone:
Home Address
(Thousand Oaks
residency required):*
Clyde
Doheney
Street Address
Address Line 2
T
City
Newbury Park
Zip Code
91320
State
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Country
Email Address:* This email address will be used to send you updates about this application How did you learn about City Staff
this vacancy?*
Check all applicable:* ii Retired CJ Employed fi Unemployed CJ Student � Military CJ Other Work History
Company: FRAZIER AVIATION
City: San Fernando
State: CA
Job title: Director, Legal and Government Affairs
Summary of duties:(?) Managing Federal Government contracts and Frazier corporate Human Relations I am also a Colonel and Commander of the AIR Staff of the Califomfa State Guard, managing five (5) Support Groups at the 5 Air National Guard flying Wings around the State.
Why are you interested in serving on this board or committee?*
CMO:110-20\wl\H:\COMMON\City Council\Council Items\2024 Staff Reports\082724\Attch 1 CFRC Applications