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HomeMy WebLinkAbout19 - Citizens Technology Task Force - Supplemental ApplicationAgenda Item No. 19 April 27, 2010 APPLICATION FIVE POSITION 20 €0 APR 23 AM 8 35 OFFICE OF THE CITY CLERK CRY OF N!-zWPORT BEACH CITY OF NEWPORT BEACH 3300 Newport Boulevard Newport Beach, CA 92663 City Clerk (949) 644 -3005 Fax(949)644 -3039 DIRECTIONS: One application can be used for all the appointive positions you are applying for. 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.newportbeachca.gov (City Government /Citizen Participation). 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: ITechnology Task Force _ Name: 1-own David C J (Last) (First) (Middle) Cell phone Residence Address (required): 13 Blue Horizon Zip Code: 92677 How long have you lived in Newport Beach? 0 Years Home Phone: Business Address: 840 Newport Center Drive Business Phone Newport Beach, CA Email Address: lown @pimco.com Have you ever been convicted of any crime or violation of any law or statute other than minor traffic violations? pX NO ❑ YES (If yes, attach separate sheet with explanation) CONTINUE TO PAGE TWO Occupational History. Begin with your present or most recent position. List all positions separately held for the last five years. y �l #b?i �' ' ^ 5''�.z��- 4`�i�?6' a �.' � �'��' t �� ." ' r"�° z �)j i�C i�S�i - %"4 R�'n x � .t� � �: , � s� t� ylj�.rA � per. f3 � � -S za �:]'lrq.'' tie �o •� /vrJ�.�' Salomon Brothers References. Include names of at least two residents of Newport Beach who are not officially connected with the City. 1. Name Steve Rodosky Addres Phone No. 2. Name Sabrina Callin Addres Phone 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 forwhich you are applying. I have worked at PIMCO for 15 years and feel that I could contribute my Technology experience to this Committee. I have always personally wanted to extend my reach within the communities I live and work. With PIMCO being of the City's largest employers, having a connection with City Management would be beneficial to both parties. 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 am applying for and authorize the release of this information on the internet. [BOX MUST BE CHECKED IF SUBMITTING ELECTRONICALLY] .. . ._.a ..... Signature . .Date - 4/22/2010 t