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HomeMy WebLinkAbout11 - EQAC AppointmentCITY OF NEWPORT BEACH CITY COUNCIL STAFF REPORT Agenda Item No. 11 October 26, 2004 TO: HONORABLE MAYOR AND MEMBERS OF THE CITY COUNCIL FROM: City Clerk's Office LaVonne M. Harkless, City Clerk 949 - 644 -3005, Iharkless @city.newport- beach.ca.us SUBJECT: APPOINTMENT TO THE ENVIRONMENTAL QUALITY AFFAIRS CITIZENS ADVISORY COMMITTEE RECOMMENDATION: Confirm Council Member Daigle's appointment of Michael Browning as the District 4 representative to the Environmental Quality Affairs Citizens Advisory Committee (EQAC). Environmental Review: Not applicable Submitted by: ��.. / LaVonne M. Harkless, City Clerk Attachment: Application APPLICATION FOR APPOINTIVE POSITION Applications should be filled out completely so that the City Council may fully evaluate your qualifications. It is the responsibility of the applicant to familiarize themselves with the duties and responsibilities of the position(s) applied for, Detailed information outlining the responsibilities of the positions can be obtained from the City Clerk's office or on the City's website www.citv.newnort- beach.ca.us (General Info /Citizen Participation Info). Applications will be kept on file for two years for the position(s) applied for. If you are not selected for appointment during that period of time, it will be necessary for you to re- submit an application if you are still interested in being considered. NOTICE: Section 702 of the City Charter requires that members of Boards or Commissions appointed by the City Council shall be from the qualified electors of the City. This document is a public record and may be posted on the internet. NAME OF BOARD, COMMISSION, OR COMMITTEE: L v J;Y111LIC^L1t2I C 1741 ir< / ;t+71 Name: M 1 r rc-<f' (Last) (I (First) (Middle) Residence Address (required): lle- 0 IP Zip Code 2 G 'fly/ f How long have you lived in Newport Beach? Z if rS Home Phone q!f `/ / 7 8 7S Business Address: J & d / T�Gv`C S T• 44- LB Business Phone t� � %C T T�f`? C �� / ld Email Address _tp'� c/t'igz I"; m ec� iY2 1ri/. FE+ Have you ever been convicted of any crime or violation of any law or statute other than minor traffic violations? Yes No _X _ (If yes, please: attach a separate sheet) Name and Location of Colleges/ Universities Attended Major Degree Last Year Attended 0M,%if T)' CT— 14 y- 17C -i1 1 ej o'Y2 a, C asrt llfven— 1 CS—;aZ RP (Ftry . /97.1 Prior or Current Civic Experience (Include membership in professional. charity or community organizations) Office Held (if any) Dates of Membership II� `� C N �G l C Z° QJ P '1—T ilk ff�� N c"7 (OVER) Occupational History. Begin with your present or most recent position. List all positions separately held for the last five nears. Firm or Organization Type of Business Title Dates of Employment ff CAA qr ii1�� �t C In (*dViSCr$ 1`ia� I�ST3Y�. �G£)yICY ��1 rf3 SZ1 Y'CSCM References (include names of at least two residents of Newport Beach who are not officially connected with the City). 1. 2. Name Address Telephone No. Summarize why you wish to serve the City of Newport Beach on a board, commission, or committee. Include any special qualifications you have which are particularly appropriate to the position for which you are applying (IF MORE SPACE IS NEEDED, PLEASE ATTACH A SEPARATE SHEET). 1 N C )Ckri z in d 0 h-') S t-S 64- 'CC? E?St-a a "✓rkI 1i )Crr—lC I certify that all statements made on this application are true and correct to the best of my knowledge. I have read and understand the duties and responsibilities of the particular position(s) that I a p ying for and authorize the release of this information on the internet. Signature Date 1vTis_1 \Users \C1-\Shared\Boards, Commissions,