HomeMy WebLinkAboutMINUTES - 10031995 - C17 tA
.r. � 17
To: BOARD OF SUPERVISORS Contra
FROM: Arthur C. Miner, Executive Director
Private Industry Council Costa
County
DATE: September 20, 1995
SUBJECT:
APPOINTMENTS TO THE PRIVATE INDUSTRY COUNCIL
SPECIFIC REOUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION
RECOMMENDATIONS:
1. REAPPOINT the following PIC members to two year terms ending
September 30, 1997.
BUSINESS REPRESENTATIVES:
Joan Kelley-Williams, Vice President
Bay Area Business Consultants Organization
1201 Melville Square, #401 , Richmond
(Length of Service: 10/l/91-9/30/95)
(Attendance Rate for Most Recent Term: 69%)
Cindy Turner, Principal
Turner & Associates
1485-G Ena Court, #1330, Concord
(Length of Service: 10/19/93-9/30/95)
(Attendance Rate for Most Recent Term: 87%).
Stephanie Ferguson, Senior Human Relations Consultant
Glendale Federal Bank
1111 Civic Drive, #100, Walnut Creek
(Length of Service: 1/17/95-9/30/95)
(Attendance Rate for Most Recent Term: 83%)
CONTINUED ON ATTACHMENT: LYES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE(S):
ACTION OF BOARD ON - October :.3, 199 5 APPROVED AS RECOMMENDED X OTHER
VOTE OF SUPERVISORS
1 HEREBY CERTIFY THAT THIS IS ATRUE
X UNANIMOUS(ABSENT ----------- AND AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN.
Contact: Barbara Jensen (65391)
CC: Private Industry Council ATTESTED October 3, 1995
PHIL BATCHELOR,CLERK OF THE BOARD OF
County Administrator SUPERVISORS AND COUNTY ADMINISTRATOR
County Auditor-Controller
#1\MINUTES\PICAPPT.BD
BY ,DEPUTY
M382 (10/88) v
EDUCATION REPRESENTATIVE:
Helen Spencer, Interim President
Los Medanos College
2700 East Leland Road, Pittsburg
Nominated by the Contra Costa Community College District
(Length of Service: 10/6/92-9/30/95)
(Attendance Rate for Most Recent Term: 54%)
LABOR REPRESENTATIVE:
Richard Foley, Business Agent.
Carpet, Linoleum & Soft Tile Workers, Local 12
8400 Enterprise Way, Room 121 , Oakland
Nominated by the Contra Costa Building and Construction
Trades Council and endorsed by the California School
Employees Association, the International Brotherhood
Electrical Workers and the Central Labor Council
(Length of Service: 2/28/95-9/30/95)
(Attendance Rate for Most Recent Term: 89%)
PUBLIC EMPLOYMENT SERVICE REPRESENTATIVE:
Myrtle Ballard, Office Manager.
State Employment Development Department
201 East 18th Street, Antioch
Nominated by the State Employment Development Department
(Length of Service: 3/14/95-9/30/95)
(Attendance Rate for Most Recent Term: 78%)
2. APPOINT Charles Woods, Principal of Charles Woods & Associates, to a
Business Category position on the Private Industry Council for a two year
term ending September 30, 1997.
3. APPOINT John Cullen, Director of the Contra Costa County Social
Services Department, to the Public Assistance Agency Category position
on the Private Industry Council for a two year term ending September 30,
1997. Mr. Cullen is an employee of Contra Costa County.
FINANCIAL IMPACT:
None. One hundred percent federal funds.
REASONS FOR RECOMMENDATIONS/BACKGROUND:
Federal Job Training Partnership Act (JTPA) legislation requires there be a
Board appointed Private Industry Council (PIC) that in partnership with the Board.
of Supervisors, is responsible for the operation of the JTPA grant.
In accordance with a Board Order approved July 19, 1994, the Private Industry
Council was directed to make.recommendations for appointments to the Council
directly to the Board of Supervisors, without the need to go through the Internal
Operations Committee.
Appointments to the business categories on the Private Industry Council must
be selected from a single list of nominations submitted by the County Chambers
of Commerce (attached); the Walnut Creek Chamber of Commerce has agreed
to receive nominations from other County Chambers and compile a single list of
nominations from other County Chambers for consideration by the Board of
Supervisors.
The twenty PIC members are appointed to staggered two year terms with
incumbency limited to three full terms. The nominees (Joan Kelley-Williams,
Cindy Turner, Stephanie Ferguson, Helen Spencer, Richard Foley, Myrtle
Ballard) are all eligible for reappointment; it is the unanimous request of the PIC
that they all be reappointed so we can continue to utilize their skills and maintain
a core of experienced PIC members. (Applications are attached.)
The PIC recommends the appointment of Charles Woods, principal of Charles
Woods and Associates, to a Business Category which was created by
Christopher Smith who choose not to reapply for reappointment; the term ending
is 9/30/97. Mr. Woods has background and experience in human resources and
also served on the San Francisco PIC.
The PIC recommends the appointment of John Cullen, Director of the Contra
Costa Social Service Department; the term ending is 9/30/97. Mr. Cullen is
familiar with programs operated by the PIC and was a past member of the
Merced County PIC.
LIST OF PIC BUSINESS NOMINEES
Dawn Biocca, Image Consultant Joan Kelley-Williams, Vice President
Color Me Beautiful by Dawn Bay Area Business Consultants Organization
5027 Sweetwood Drive 1201 Melville. Square, #401
Richmond, Ca 94803 Richmond, CA 94804
758-7104 235-9350
George Constantine, Jr., Principal Joanne Kenefick-Tansey, Owner
Constantino & Associates Kenefick Consulting
P.O. Box 1426 935 Moraga Road
Orinda, CA 94563 Lafayette, CA 94549
254-1426 283-0442
Stephanie Ferguson, Senior HR Consultant Henry Lincoln, Regional Vice President
Glendale Federal Bank Primerica Financial Services
1111 Civic Drive, Suite 100 10285 San Pablo Avenue
Walnut Creek, CA 94596 El Cerrito, CA 94530
943-3518 526-4081
Sherman Fishman, Marketing Rep. Carole Ransome, Manager
Sara Sales Company Real Estate
P.O. Box 321 P.O. Box 285
San Francisco, CA 94101 Orinda, CA 94563
835-4446 934-4860
Sharon Halper, President Cindy Turner, Principal
Sierra Environmental Services Small Business Consultant
847 Arnold Drive Turner & Associates
Martinez, CA 94553 1485-G Ena Court, #1330
370-1280 Concord, CA 94520
687-7376
Tracy Holzman, Partner
Wild Bryde Jewelry Charles H. Woods, Consultant
3742 San Pablo Dam Road Charles H Woods & Associates
El Sobrante, CA 94803 1630 N. Main, Suite 416
222-1222 Walnut Creek, CA 94596
672-0481
8/95
#4:business.1st
Return original application to: I am applying for:
PRIVATF; INDUSTRY COUNCIL
2425 Bisso Lane, •100 Buss
Concord,. CA. 94520 `
Representative position on the
PRIVATE INDUSTRY COUNCIL
PERSONAL DATA SHEET
RECOMMENDING/NOMINATION AGENCY
County Chambers of Commerce
Joan Kelley-Williams
BM ADDRESS: 1201 Melville Square, #401 PHONE: 232-8749
Richmond, CA 94804 FAX:
BUSINESS ADDRESS: BABCO PHONE: 235-9350/(415) 202-0725
1201 Melville- Square, #401 FAX: (415) 202-0682
Richmond, CA 94804
OCCUPATION AND WORK TITLE: RACE/NATIONAL ORIGIN: (optional)
Vice President - BABCO (Bay Area Business Consultants Organization)
EDUCATIONAL BACKGROUND:
Masters Public Administration - CAL State Hayward
BS Business Administration - Antioch University
PROFESSIONAL AND FRATERNAL XDMZR3SIPS (including offices hold):
N lxr?G risi��iss �� ss>c� Ucy�'s Ci'&h %n �
.. National Council of Negro Women
COMMUNITY ACTIVITIES:
NAACP
W
SPECIAL INTERESTS ANDA
\2� IU` 70a SSi0,#41- AJ f2) .
CG�v�rrnd'��►' �Uu 17r�rlC/'Y�'fi�� j � ��-6 �' J
OTHER NOTEWORTHY INFORMATION: � '✓ /j��'�
Current member of PIC since 10/91 l
PIC Chair 1994 & 1995, PIC Vice-Chair 1993
Date Sign ure
7
PLEASE NO'T'E: Members of some County advisory committees are required to file a
conflict of interest statement.
119:nominee
Return original application to: I am applying for:
PRSr'ATE .INDUSTRY OOUNCIL
2425 Bisso Lane, #100 BUSINESS
Concord, CA. 94520
Representative position on the
PRIVATE INDUSTRY OOUNCIL
PERSONAL DATA SHEET
RECOMMENDING/NOMINATION AGENCY
County Chambers of Commerce
NAME: Cindy L. Turner
ROME ADDRESS: 325 Ramona Avenue PHONE: 527-8810
El Cerrito, CA 94520 FAX:
BUSINESS ADDRESS: Turner & Associates PDDME. 687-7376
1485-0 Ena Court, #1330 jAX. 798-3077
Concord, CA 94520
s
OCCUPATION AND WORK TITLE: RACE/NATIONAL ORIGIN: (optional)
Principal, Small Business Consultant
EDUCATIONAL BACKGROUND:
MBA - New Ventures and Small Business Management and Marketing, CAL State Hayward
BS - New Ventures and Small Business Management - CAL State Hayward
PROFESSIONAL AND FRATERNAL HENBERSHIPS (including offices held):
Greater Concord Chamber of Commerce
American Marketing Association
COMMUNITY ACTIVITIES:
SPECIAL INTERESTS AND ACCOMPLISHMENTS:
OTHER NOTEWORTHY INFORMATION:
Member of PIC since 10/93
Current Chair of PIC Oversight Committee and member of PIC Executive Committee
Date Signature
PLEASE NOTE: Members of some County advisory committees are required to file a
conflict of interest statement.
#9:nominee
Return original application to: I am applying for:
PRIVATE INDUSTRY COUNCIL
2425 Bisso Lane, #100 BUSINESS
Concord, CA. 94520
Representative position on the
PRIVATE INDUSTRY COUNCIL
PERSONAL DATA SHEET
RECOMMENDING/NOMINATION AGENCY
County Chambers of Commerce
NAME: Stephanie Ferguson
HOME ADDRESS. 1504 Marie Avenue HONE: 778-6805
Antioch, CA 94509 —
BUSINESS ADDRESS: Glendale Federal Bank PHONE'' 943-3518
1111 Civic Drive., Suite 100 FAX. 943-3501
Walnut Creek, CA 94596
OCCUPATION AND WORK TITLE: RACE/NATIONAL ORIGIN: (optional)
Senior Human Relations Consultant
EDUCATIONAL BACKGROUND:
BS - Business Administration, CAL State University, Chico
Certication in the. Zenger-Miller training system "Frontline .Leadership"
PROFESSIONAL AND FRATERNAL MEMBERSHIPS (including offices held):
COMMUNITY ACTIVITIES:
P
SPECIAL INTERESTS AND A S:
OTHER NOTEWORTHY INFORMATIOP:
Current member of PIC since 1%95; current member of PIC Proposal Review Committee
los 45 LAI
Date Signature
PLEASE NOTE: Members of some County advisory committees are required to file a
conflict of interest statement.
#9:nominee
Itetix., original almlication to: I am applying for:
PRIVATE INDUSTRY COUNCIL
2425 Bisso Lane, 8100 EDUCATION
Concord, CA. 94520
Representative position on the
PRIVATE INDUSTRY COUNCIL
PERSONAL DATA SHEET
RECOMMENDING/NOMINATION AGENCY
Contra Costa Community College Dist.
NAME: Helen Spencer
HOME ADDRESS: 204 Bristol Court +``'•' _ PHONE: 799-5245
Hercules, CA 94547 FAX:
BUSINESS ADDRESS: Los Medanos College— PHONE: :. 439-2181 ext. 201
2700 East Leland Road FAX: `3 ��9 8797
Pittsburg, CA 94565
OCCUPATION AND WORK TITLE: RACE/NATIONAL ORIGIN: (optional)
. Interim President until replacement is made
(Vice Chancellor - Contra Costa Community College District, 500 Court Street, Martinez, 94553
(229-1000 ext. 203; FAX: 370-2019)
EDUCATIONAL BACKGROUND:
BS - English
M. Ed. , Supervision
Ph.D. - English
PROFESSIONAL AND FRATERNAL' (including offices held):
National Council of Teachers of English
Community College Humanities Assn.
Assn. of Califonria Community College Administrators
National Council of Instructional Administrators
COMMUNITY ACTIVITIES:
SPECIAL INTERESTS AND ACCOMPLISHMENTS:
OTHER NOTE ORTHY INFORMATION:
Current member of PIC since 10/6/92
Current memberlof PIC Executive Committee and.PIC Oversight Committee
7
to Signature
PLEASE NOTE: Members of some County advisory committees are required to file a
conflict of interest statement.
_minee
Return original application to: I am applying for:
PRT?', ;'_ nWSTRY COUNCIL
2425'Bisso Lane, #100 LABOR
Concord, CA. 94520
Representative position on the
PRIVATE INDUSTRY COUNCIL
PERSONAL DATA SHEET
RECOMMENDING/NOMINATION AGENCY
Building Trades Council
NAME: Richard (Rick) Foley {
HOME ADDRESS: 1425 Grandview Avenue PHONE. 370-0245
Martinez, CA 94553 FAX:
BUSINESS ADDRESS: Carpet, Linoleum & Soft Tile WorkeVg0NE. 632-0511 or 632-0512
Local #12 gam. 632-8150
8400 Enterprise Way, Room 121
Oakland, CA 94621
OCCUPATION AND WORK TITLE: RACE/NATIONAL ORIGIN: (optional)
Business Agent, "Business Representative
EDUCATIONAL BACKGROUND:
Some college; completed 3 year State Certified Apprentice Program.
PROFESSIONAL AND FRATERNAL MEMMARIPS . (including offices held):
Member of Local 12 (formerly #1290) since 1976; Board member at large, Trustee,
Recording Secretary, Business Representative
COMMUNITY ACTIVITIES:
SPECIAL INTERESTS AND ACCOMPLISHMENTS:
Family.
OTHER NOTEWORTHY INFORMATUM:
Member of PIC since 2/28/95; current member of PIC Proposal Review Committee.
Trustee andCommittee Member for the East Bay Carpet, Linolium and Soft
Tile Joint Apprentice Training Committee.
Date Signature
PLEASE NOTE: Members of some County advisory committees are required to file a
conflict of interest statement.
#9:nominee
Contra Costa Building and Construction Trades Council
935 Alhambra Avenue N`I)JRATJ040, 9 Greg Feere
Suite No.2 4y co Chief Executive
Martinez,CA 94553 ; AFL , o a Officer
FAX(510) 372-7414 r a = ct, Phone (510) 228-0900
OY �0�/MDUSIRPP �O
J�blSN09 9�
August 7, 1995
Arthur C. Miner, Executive Director
Private Industry Council Lj
2425 Bisso Lane, Suite 100
Concord, CA 94520-4891
Dear Mr. Miner,
We understand that PIC Board member Rick Foley's term is about
to expire. We are requesting that he be reappointed to the
position he has held for approximately the last six months.
Rick has lived in this County all of his life and continues to
have a daily connection to issues of employment. His position on
the East Bay Carpet, Linoleum and Soft Tile JATC, his knowledge and
background are ideal assets in serving as a PIC Board member.
We highly recommend Rick Foley for continuing appointment as
PIC Board Member. If you have any questions, please contact me.
Sincerely,
Greg eere
Chie Executive Officer
GF:ps
CSeaCalifornia School Employees Association
AUG I ,r 1995
PRtyA
���QUSFRY COUq#Q
L
August 14, 1995
Arthur Miner, Executive Director
Private Industry Council
2425 Bisso Lane, Suite 100
Concord, CA 94520-4891
Dear Director Miner:
California School Employees Association supports the reappointment of Mr. Rick Foley to the
Private Industry Council.
Sincerely,
CALIFORNIA SCHOOL EMPLOYEES ASSOCIATION
Betty Boy
Field Director
BDB/dft
boykinVwppointPIC
2345 Stanwell Circle Concord,CA 94520 (510)676-5755 FAX(510)676-8351
('� The Nation's Largest Classified School Employee Association Member of AACSE Representing California Public Employees
:ORY OF SF�P International l' John J.Barry
�.• .,••• / 1y International President
�' ; t�•��.. • �' Brotherhood of �- Jack F.Moore
International Secretary
Electrical Workers PRIVAT€ I.NiDf S.R.(Jack)McCann
Ninth
`v''•'•• International Vice President
Ninth District Ninth District
•�,,•+��"" ""�,, 150 North Wiget Lane Suite 150 Walnut Creek,California 94598-2494 (510)943-7777 FAX(510)943-1715
le91-199%
August 23, 1995
Mr. Arthur C. Miner
Executive Director
Private Industry Council
2425 Bisso Lane - Suite 100
Concord CA 94520-4891
RE: Private Industry Council
Dear Sir:
Thank you for the opportunity to submit a recommendation for the above-referenced
Council.
I believe Rick Foley has been doing an excellent job, therefore, I am recommending him.
Sincerely,
W. . Mc ann
International Vice President
SRM/nkk
®�c3
:. c ��� � �'' �� -- rte•=%'�
UTILITY
sa Pub/o 9>y f SUGAR FISHSTEEL PAPER STEVEN A ROBERTI Ex"Ive Secreta Treasurer
!y
MARGARET BUTZ SHELLE@{A,President OIL
CK
OIL RUBBER CHEMICAL
BRICK
UTILITY
CHEMICAL CANNING
Centra- aEbor Council of Contr Costa County
� .
\\CATION GNaIO
-
!. JRICAN FE TION OF LABOR AND CONGRESS OF INDUST ORGANIZATIONS
IA LABOR FEDERATIOCIO ....c,
525 GREEN STREET,MARTIIfIBZ lti ~� AGRICULTURE
TELEPHONE:(510)228-0111 7 -` MAILING ADDRESS:P.O.BOX 389
Me Wednesday
FAX:(510)228-0224 : \ MARTINEZ,CA 94553
August 30, 1995
Arthur C. Miner, Exec. Dir.
Private Industry Council
2425 Bisso Lane, Suite 100
Concord, CA 94520-4891
Dear Art:
Please be advised that the Central Labor Council would recommend that the
Contra Costa County Board of Supervisors appoint, for another term, Rick Foley to the
Private Industry Council.
It is my understanding that Mr. Foley has participated and represented organized
labor very well in his first term.
Your attention in this matter would be appreciated.
Sincerely yours,
Steven A. Roberti
Executive Secretary-Treasurer.
SAR:mb
opeiu29cic/afl-cio
Return original application to: I am applying for:
PRIW.rg I!®USTBY COUNCIL
2;;.:3 Bieso Lane, #100 PUBLIC E11PL OYMENT SHRVICE
Concord, Ch. 94520
Representative position on the
PRIVATE INDUSTRY COUNCIL
PER30NAL DATA SHEET
RECOMMENDING/NOMINATION AGENCY
State Employment Development Dept.
IBM: Myrtle E. Ballard
ROME ADDRE33: 2239 Dexter Way pHONE: 538-0548
Hayward, CA 94541 FAX:
BUSINESS ADDRE33: State EDD PHONE: 777-2109
201 E. 18th Street FAB: 778-1979
Antioch, CA 94509
OCCUPATION AND WORK TITLE: RACE/NATIONAL ORIGIN: (optional)
Office Manager
EDUCATIONAL BACKGROUND:
BA - Public Management
Graduate Studies Business Administration
PROFESSIONAL AMID FRATERNAL MEMBERS11PS (including offices held):
Zeta Phi Beta Sorority, Inc.
National Trustee
Regional Director
Chairperson, Regional Board
COMMUNITY ACTIVITIES:
Board Member/Lincoln Child Center
United Negro College Fund/Volunteer
Board Director/Storks Nest
SPECIAL INTERESTS AND ACCOMPLISHMENTS:
OTHER NOTEWORTHY
Current member of PIC since 3/14/95; current member of PIC Oversight Committee
'1197 A-7
Date Signature
PLBASE .NOTE: Members of some County advisory committees are required to file a
conflict of interest statement.
#9:nominee
' 10 Serving the People of California
State of California/ Health and Welfare Agency Pete Wilson,Governor
July 27, 1995
REFER TO:
Arthur C. Miner, Executive Director „,► 1�, r
Private Industry Council
2425 Bisso Lane, Suite 100
Concord CA 94520
The Employment Development Department would like to nominate
Myrtle Ballard, Manager, Antioch office, to continue to represent us
on the Private Industry Council.
I understand that she is eligible for reappointment, and has served
us well.
Thanks.
L.R GURNEY
Area Administrator
Greater Bay Area
cc: M. Ballard, #036
P. O. Box 1769, Oakland, CA 94604 (510) 286-4121
btura crigirua application to: 1 a® arplriDg for:
BIVATB I,!®USTRY COUNCIL
2425 Diego Lane, 5100 BUSINESS
Conwrd, G. 945?0
Representative position on the
PRIVATE IMSTRY COUNCIL
PERSONAL L1A'1'a SET
RECOMMENDING/NOMINATION AGENCY
MR ADDRESS: 4 H q IHO v,-ATl k tie, �'e :,/O 4 72 - �q•Z S
, rna•
euStMS ADDRESS:
PAX: 610-(070
OCCUPATION AND WORK TITLE: RACEMATIONAL ORIGIN: (optional) ,
MUC AT!'IONAL BACKGRO M:
.I ,
PROPESSIOtZAL AND FRATERRAL S (including offices held).
VV\
As r
C"MITY ACTIVITIES:
SPECIAL I)ITERESTS ANDA :
OTHER NOTMRTHY INF'OMQTIW: .
•e Signature
PLEASE NNE: Members of some County advisory committees are required to file a
conflict of interest statement.
f9:nominee
Charles H.Woods
McKESSON CORPORATION,San Francisco,California 1974 to 1994
Vice President,Sales Administration and Training 1993 to 1994
Directed a major re-engineering of the sales organization. Created market-segmented sales forces,
redefined selling process and reorganized sales function. Extensive use of customer surveys, focus
groups, internal task forces and outside consultants to gather information. Redesigned training and
business processes to support new approaches to the markets.
Director,Human Resources 1992 to 1993
Managed several corporate HR functions including EEO, Training, Staffing and Information Services.
Lead an intensified effort in manager development, met increased objective in EEO and Employee
Relations. Provided extensive training in business process management, employee involvement, change
management and customer sensitivity for 300 managers
Directed well respected employee awareness program to address disability laws and revised harassment
regulations. Brought In-house communications to new level with introduction of monthly newsletter,
employee focus groups and expanded just-in-time training.
Vice President, Personnel Operations 1988 to 1992
Directed oversight of human resource function for two public companies and five major divisions.
Extensive experience in executive compensation (long and short term), Board relations, union
campaigns, safety, organization re-structuring and organizational effectiveness. Extensive strategic
planning involvement.
Director,Employee Relations 1980 to 1988
Responsible for corporate Labor Relations, EEO, Employment, Employee Relations and Management
Training. Also responsible for two divisions, Headquarters Personnel and Administrative Services.
Managed acquisition and divestiture for several divisions and provided HR services to new acquisitions.
Director, Management Development 1977 to 1980
Director of Training and Development 1974 to 1977
MALLINCKRODT CHEMICAL COMPANY,St. Louis, Missouri 1972 to 1974
Manager, Management Development
MONSANTO COMPANY,St. Louis, Missouri 1969 to 1972
Manager, Management Development
CLAYTON BROKERAGE COMPANY,St. Louis, Missouri 1967 to.1969
Training Coordinator
PUBLIC SCHOOL TEACHER 1960 to 1967
EDUCATION
BS,Lyndon State College, Lyndon,Vermont
Executive Management Program, Stanford University
COMMUNITY ACTIVITIES
President, Mt Diablo Silverado Council, Boy Scouts of America 1993 to Present
Member of Executive Board, San Francisco Private Industry Council 1991 to 1993
Member, California Commission on Public School Administration 1987 to 1988
Return original application to: I am applying for:
PRIVATE—nbUSTRY COUNCIL
2425. Bisso Lane, #100 PUBLIC ASSISTANCE
Concord, CA. 94520 47A) C CA ( 0A n
Re resentative per—�rT
p position on the
PRIVATE INDUSTRY COUNCIL
PERSONAL DATA SHEET
RECOMMENDING/NOMINATION AGENCY
NAME:
HOME ADDRESS: PHONE: 3 7 O 7q
S(P �ca2QJl 1'}1/'e,
FAX:
n e 3 p
PHONE
BUSINESS ADDRESS:
4.c9 -PCXACp V>-�)2 FAX:
OCCUPATION AND WORK TITLE: RACE/NATIONAL ORIGIN: (optional)
EDUCATIONAL BACKGROUND:
PROFESSIONAL AND FRATERNAL MEMBERSHIPS (including offices held):
f�S r P 1 G (-CO LA1
CON UNITY ACTIVITIES
SPECIAL INTERESTS AND ACCOMPLISHMENTS:
OTHER NOTEWORTHY INFORMATION
Date Signature
PLEASE NOTE: Members of some County advisory committees are required to file a
conflict of interest statement.
#9:nominee