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Item 3C: Appointment to Human Services Commission
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Item 3C: Appointment to Human Services Commission
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6/9/2010 1:08:56 PM
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12/7/2005 11:50:51 AM
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City Council
City_Council_Document_Type
Agenda Item Summary
CMO_Meeting_Date
12/12/2005
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<br />APPLICATION FOR APPOIN11Al'NT TO <br />CITIZEN ADVISORY BOARDS AND COMMISSIONS <br /> <br />'-~ ),. <br /> <br />1. What experience, training, and/or qualifications do you have for this particular board or commission? <br /> <br />Treasurer of Board of Directors of Food for Lane County at present <br />Involved with public safety issues as Chair of ACLU during Vietnam War <br /> <br />2. What specific contribution do you hope to make to the board or commission? Why do you want to become a member? <br /> <br />Employ analytic approach cultivated as an attorney <br />Apply insight gained as trial lawyer, University teacher, clergyman and <br />long time citizen <br />Help clarify priorities for this exceptional city <br /> <br />3. Briefly describe your involvement in relevant community groups and activities. (lack of previous involvement will not <br />necessarily disqualify you from consideration.) <br /> <br />Involved in United Way fund distribution process for a number of years <br />Food for Lane County Board of Directors member since its inception <br />Member of Advisory Committee to the Sheriff when the current jail was built <br /> <br />4. Are you currently a member of a City of Eugene advisory board or comm ission? If so, which one? <br /> <br />No <br /> <br />NOTE: To a{fow a large number of citizens to serve on boNds and commissions, the City Council policy allows individuals to seIVe <br />on only one standing board or comnission at a time. A current member of a board/comrrission who is a successful applicant for <br />another board/corrmission will be required to choose one board/commission. This policy does not apply to ad hoc committees or <br />departmental committees or positions that are designated for members of specific advisory groups, e.g. the Planning Commission <br />member assigned to the Citizen fnvolvement Committee. <br /> <br />5. Most City boards/commissions meet once a month, sometimes more frequently. Meetings generally last about two <br />hours. Please indicate below the times you would be able to attend meetings. <br /> <br />~ Morning (6:30 - 8:30 a.m.) [J Noon time (11 :30. 1 :30 p.m ,) <br /> <br />!Xl Afternoon (4:00 - 6:00 p.m.) [] Evening (after 6:00 p.m.) <br /> <br />CITY COUNCIL POLICY REGARDING REAPPOINTMENT TO BOARDS AND COMMISSIONS <br />1. Members of city advisory groups will SelVe a maximum of Mt> consecutive terms when the length of the term is three years or more. <br />Individuals serving terms less than three years will be limited to a total of six consecutive years of service. <br />2. The deadline for applications from incumbents is the same as the deadline for new applications. <br />3. An individual may reapply tor appointmoot to a board or comnission after at least a one year hiatus from service, <br />4. City of Eugene employees may not serve on City of Eugene boards or commissions except as specifteaJly provided by the City <br />Code, or as required to perfonn official duties. <br /> <br />Information submitted on this application is public information. The information provided herein is true and complete. <br />or misleading statement may be cause for elimination from consideration. <br /> <br />I#~~ <br /> <br />A false <br /> <br />Signature of Appticant <br /> <br />Date Januarv 8. <br /> <br />2003 <br /> <br />Return completed applications to: <br />City Manager's Office <br />777 Pearl Street, Room 105 <br />Eugene, OR 97401 <br />541-682-5010 <br />541-682-5414 (Fax) (Applications may be faxed) <br /> <br />Visit our Web Site at www.ci.eugene.or.us <br /> <br />Please oomplete both sides of this application <br /> <br />Applk:atlOO f<>r .<wo<ntmen< to Citiu>n A<Msory 8"",<!. on<! C<>nmissions. Page 2 <br />Re.~ S"pembe', 2001 . f>\C~"i\CC\ElCCAPP01Q9119.wpd <br />
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