HomeMy WebLinkAbout09 - EQAC AppointmentCITY OF NEWPORT BEACH
CITY COUNCIL STAFF REPORT
Agenda Item No. 9
November 12, 2003
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 Nichols' appointment of Sandra Haskell as the District 6 at-
large representative to the Environmental Quality Affairs Citizens Advisory Committee
(EQAC).
Environmental Review: Not applicable
Submitted by: j y� ,,
a, o4-', )n - /�'IW ,0q
LaVonne M. Harkless, City Clerk
Attachment: Application
APPLICATION FOR APPOINTIVE POSITION
FOR OFFICE USE ONLY
Residence District No.
Verified by 0
CITY OF NEWPORT BEACH
3300 Newport Boulevard
,0 22 `34&port Beach, CA 92663
City Clerk (949) 644 -3005
`'UFpn�`�� :. ,-,; 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.citv.newport- 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:
Name: 1-1116e6
(Last)
Residence Address (required):
How long have you lived in Newport Beach?
Business Address:
Zip
Home Phone
(Middle)
1-11�
Business Phone
Email Address
Have you ever been convicted of any crime or violation of any law or statute other than minor traffic
violations?
Yes No ✓ (If yes, please attach a separate sheet)
Name and Location of Colleges/
Universities Attended
Major
Degree
Last Year
Attended
/ —
mlm
15-5Z 7 a/6
Prior or Current Civic Experience (Include membership
in p4ofessional, charity or com munit organizations)
Office Held
(if an)
Dates of
Mye�m� bershi
/ a /, V
/ —
mlm
15-5Z 7 a/6
(OVER)
Occupational History. Begin with your present or most recent position. List all positions separately held for
the last five years.
Firm or Organization
Type of
Business
Title
Dates of
Employment
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}
References (include names of at least two residents of Newport Beach who are not officially connected with
the City).
&Name / , / Address ) Telephone No.
121 1. z. i�/YJIL���� l�f 4 X59- X68
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).
I cert fy'�hat all statements made on this application are true and correct to the best of my
know dge. I have read and understand the duties and responsibilities of the particular
positio s) that I atn ap "ng fo an authorize the release of this information on the internet.
C1- f 2-033
Signature Date
Commissions, Committees\Miscellaneous\Application