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HomeMy WebLinkAboutMINUTES - 12102002 - HA3 TO:' BOARD OF COMMISSIONERS OF THE Contra i HOUSING AUTHORITY OF CONTRA COSTACosta;)8A FROM: INTERNAL OPERATIONS COMMITTEE �/ DATE: DECEMBER 10,2002 County 3 SUBJECT: APPOINTMENTS TO THE ADVISORY HOUSING COMMISSION SPECIFIC REQUEST(S)OR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDATION: APPOINT the following individuals to the Advisory Housing Commission: Name Seat Term Endinsa Sary Tatapom Appointee 2 March 31,2004 1340 Bush Avenue San Pablo, CA 94806 Peter Garcia Appointee 3 March 31, 2003 1473 Autumnwind Court Pittsburg,CA 94565 BACKGROUND: The Advisory Housing Commission was established in 1981 to review and make recommendations on all matters to come before the Housing Authority,except emergency and certain other matters. The Commission comprises seven members,five of which are at large and two of which are tenants of the Authority. The Internal Operations Committee reviews nominations for all Commission seats. Two At Large seats were recently vacated with the death of George T. Brown and the resignation of Alice Latimer. The Advisory Housing Commission recruited candidates and proposed to the IOC a list of four candidates in ranked order to fill the two vacancies. The IOC,at its December 2,2002 meeting,approved the top two ranked nominees and recommends their appointment. CONTINUED ON ATTACHMENT: YES SIGNATURE: ®RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMEN T N OF BOARD COMMITTEE --,,.,APPROVE OTHER - SIGNATURE(S): V(046(— t��vI MARK DeSAUL AYLE&BLkKEMA ACTION OF BOARD ON APPROVE AS RECOMMENDED— OTHER VOTE OF SUPERVISORS �,./ I HEREBY CERTIFY THAT THIS IS A TRUE +11' AND CORRECT COPY OF AN ACTION TAKEN UNANIMOUS(ABSENT �s t AND ENTERED ON THE MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE AYES: NOES: SHOWN. ABSENT: ABSTAIN. /� i ATTESTED Mi /V �0.L— CONTACT: JULIE ENEA (925)335-1077 JOHN SWEETEN,CLERK OPTHE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR CC: INTERNAL OPERATIONS COMMITTEE STAFF ROBERT MCEWAN,HOUSING AUTHORITY EXECUTIVE DIRECTOR CLERK OF THE BOARD(MADDY BOOK) BYb DEPUTY HOUSING AUTHORITY Of THE COUNTY OF CONTRA COST affordable kousing solutions November 12, 2002 Internal Operations Committee Supervisor Mark De Saulnier Supervisor, District 4 Contra Costa County 2425 Bisso Lane, Suite 110 Concord, CA 94520 Supervisor Gayle B. Uilkema Supervisor, District 2 Contra Costa County 651 Pine Street, Room 108 A Martinez, CA 94553 Subject: Advisory Housing Commission Vacancies Dear Supervisors De Saulnier and Uilkema: In August I wrote you about the two Advisory Housing Commission Vacancies that come under the review and recommendation of the Internal Operations Committee. Sind then the Housing Authority conducted an outreach for candidates including a notice in the Contra Costa Times, a spot on CCTV, a notice on the Housing Authority's website, and direct mailing. From this outreach, thirteen (13)applications were received. All applications were provided to a three person screening subcommittee of the Advisory Housing Commission. Those serving on the screening subcommittee were Al Fleck, Richard Lujan, and Julie Medina. This committee reviewed the applications and interviewed all of the candidates who were willing to meet. The factors considered by the subcommittee were 1)the affordable housing interests of the candidates, 2)their willingness and ability to attend and participate in the meetings and activities of the Commission, 3)their cooperative spirit, 4)any special skills, background or positions that would likely assist the individual to be an effective Commissioner, and 5)whether the candidate reflects the racial, gender, geographic, and economic diversity of Contra Costa County complementary to the current composition of the Advisory Housing Commission. The screening subcommittee is recommending four candidates for your consideration for the two vacancies, In ranked order. Mr. Sary Tatpaporn Mr. Peter Garcia Ms. Sheryl Rucker Rev. Henry L. Perkins 3133 ESTUDILLO STREET•P.O.BOX 2759•MARTINEZ,CALIFORNIA 94553•PHONE(925)372-7400•FAX(925)372-0236 www,contracostahousing.org Letter, Supervisor Cie Saulnier and Uilkema November 12, 2002 Mage 2 According to our records, the remaining terms of the two vacancies are as follows: The vacancy created due to Alice Latimer's resignation expires March 31, 2003. The vacancy created due to George Brown's death expires March 31, 2004. After the completion of the expired terms, At-Large Advisory Housing Commissioner appointments are for a two-year period. I have attached copies of all applications received. If you have any questions please call me at(925)372-7400 extension 2011. Sincerely, 1 Ro ert Mr-Ewan Executive Director Enclosures: List of Advisory Housing Commissioner applications received Copies of all applications received A list of the current composition of the Advisory Housing Commission CC: Advisory Housing Commissioner Al Fleck (w/no enclosures) Advisory Housing Commissioner Richard Lujan (w/no enclosures) Advisory Housing Commissioner Julie Medina (w/no enclosures) John Sweeten, County Administrator(w/no enclosures) Julie Enea, Internal Operations Committee staff(wl enclosures) ADVISORY HOUSING COMMISSION IMS Housing Authority of the County of Contra Costa County George T. Brawn AT LARGE -VACANT SEAT 22 Ichabod Lane Orinda, CA 94563 Work Phone (925)254-4994 FAX(925)254-4997 Alice Latimer AT LARGE—VACANT SEAT 4238 Heights Avenue Pittsburg, CA 94565 Home Phone (925)439-5964 Richard Lujan, Chair 3 810 Crestview Drive Pittsburg, CA 94565 Home Phone (925)439-1893 Julie Medina 112 Cordova Way# 19 Concord, CA 94519 Home Phone (925) 691-4672 Nancy Dotson 312-1 Atlas Hercules, CA 94547 Horne Phone(510) 741-7414 Work(925) 824-5897 Geneva Green 2100 Buchanan Road, Apt. C504 Antioch, CA 94509 Home Phone (925) 757-6017 Alfred W. Fleck, Jr.,Vice Chair 174 Marcus Avenue Richmond, CA 94801-1704 Horne Phone(510) 235-8849 Work(415)753-7500 Rev. 08/02 H:\JudyHayes\MSOFFICE\WINWORD\AHC\AHCLIST.DOC HOUSING AUTHORITY OF THE, COUNTY OF CONTRA COSTA sfforJable housing solutions ADVISORY HOUSING COMMISSION APPLICANTS 1. Dianne Angle Declined 2. William Bennett 3. David A. Brady 4. Peter Garcia 5. Rekhia Lecky Declined 6. Carl J. McCormick 7. Jimmie L. Nelson 8. Rev. Henry L. Perkins J. Mary Helen Rocha 10. Sheryl Rucker 11. Jacqueline Shupe 12. Gwendolyn L. Stitzell 13. Sary Tatpaporn H:1JudyHayes1MSOFFICE\WINWORD\AHC\AHC CANDIDATE INTERVIEW SGHEDULF.dac 3133 ESTUDILLO STREET•P.O.SOX 2759•MARTINEZ,CALIFORNIA 94553•PHONE(925)372-7400 FAX(925)372-0236 www.contracostahousing.org HOUSING AUTHORITY Of THE COUNTY Of CONTRA COSTA afFoedable housing solutions k Application Advisory Housina Commissioner to the Board of Supervisors sitting as the Housi_na Authority Board of Commissioners Airiii Afibw (Please print or type) Name of Awl 11canth rle' Home Address: (Street) (Ho a Phone including area code) (City) (State} (Zip) Business Name and Address: '7 I 414 (Name of Com (Work Phone including area code) treet) (Ci (State) (Zip) Occupation: Why are you interes in se to on the Adv'so Hou ipg Co mission? .'ve �a H a resi�cn�'a� socia �► Sefi�E: " Y"t '� 4+ i�p S u VVIS o 3 � � �fi i n Sondr i5ab G►►+f �X1�► o � �.�►t y + �ni+ Acti cs � ss wr+o+ce �n �n KEnce a rd a housSn�--...�'u�t� ease !is an Co 31ty itis$ Qu are involved in: eg oa acs rzt 0 c �fi►, of ►�, rw,� iktt n c Please list any pec 1 nter> st and Accomplishments: W3fvh �►d coir; ;T ',� r, ;Si �Ja y , r Y eZb�i ZT Continued on 2nd Page 3133 ESTUDILLO STREET•P.t3.BOX 2759 i MARTINEZ,CALIFORNIA 94553 WPHONE(925)372-7400•FAX(925)372-9236 www.contracostahousing,org r+lined I ZeVJq — om4 t ren -- #�,ab� Vovl1 Cot e.' �t�rd( ,,q... v rr-hvtaa��,s, ssS t170' tom,���r o��,�Z S• F i �if' ucati n/Background: bu1a.�rtless rr� L� c d r-e. 4 MM �t.Sa K��'."� AA aA 170, t s�+ ►r #ars 5 leo p fin.,as -'�►-; •A Fol C-x a. F% Iwo, Please list any Com unity Boards or Commissions you serve on: 1 I r , f 6 A19 o* i Other corpments:4pis4w lue-tr It ' I J ►!VISIOg IlQ� w+ N! -OWN . • AM % I low + i Yy�.5 a 45 C ,`�iS sa 4 X11 Are you now a resident at a public Dousing development operated by the Housing �� Authority of the County of Contra Costa? Yes t. No❑ Note: Yes answers are not �+ necessarily required to be eligible. 2. Do you now receive housing assistance under the Questions 2 & 3 are asked because some Advisory Housing Commission Housing Authority's Housing Choice Voucher (Section 8 } seats must be filled by a person receiving assistance under one of Program? Yes El NoN the Housing Authority's programs. Further, one seat must be filled by a 3. Are you 62 years of age or older? Yes 0 NoE] person receiving assistance under one of the Housing Authority's 4. Will you be able to regularly attend monthly meetings programs and be over 62 years of and other related meetings 'sessions and age. 5 of the 7 Commission seats are "at-large" and applicants are not r1A t5cm required to be a recipient of conferences? �_� l Yes No assistance and there is no age 5�r'��j n �+n �+ restriction. Signature of applicant: Date: '�� Note: Advisory Housing Commissioners are require to sub it a nual Conflict of Interest statements. Please return to: Robert McEwan, Executive Director Housing Authority of the County of Contra Costa P.O. Box 2759 Martinez, CA 94553 Advisory Housing Commissioner Application Housing Authority of the County of Contra Costa Page 2 of 2 h:\robertmcewan\msoffice\winword\ahc\ahc applicaUmdoc DATE: AUGUST 9,2002 TO: ROBERT MC EWAN,EXECUTIVE DIRECTOR HOUSING AUTHORITY OF THE COUNTY OF CONTRA COSTA P O BOX 2759 MARTINEZ CA 94553 FROM: DIANNE ANGLE SECRETARY,ELDER WINDS TENANTS ASSOCIATION AND RESIDENT COUNCIL; ACTING CHAIRPERSON,RESIDENT ADVISORY BOARD,HACCC 2100 BUCHANAN RD.—APT A-216 ANTIOCH CA 94509 RE: APPLICATION FOR ADVISORY HOUSING COMMISSIONER I am sending you my completed application for the above appointment and I appreciate your review and consideration. Geneva Green,Past President of Elder Winds,has known me and worked with me for over three years now since I moved to Elder Winds. She gave me the application and asked me to give it some thought. I did take the time to do that,and I'm willing to make this commitment if appointed. In fact I look forward to the prospect of serving Contra Costa County and performing the duties and responsibilities of the Advisory Housing Commission. As with Geneva, I do not drive or have a vehicle or someone to transport me all over. However,I am good at using Public Transportation and do not hesitate to take city buses and Bart,if necessary. I would imagine that I could attend the monthly meetings by being picked up the same as Geneva is, but arranging my own transportation to planning sessions,training classes,and when traveling should not be a problem for me at all. If I come by bus to anything at the Estudillo St. office,I would probably need to be met somewhere close by in order to get up to the HA office,and then to be dropped off by someone leaving. I am just hoping that logistics such as this would not keep me from being considered. Thank you for your time. If you wish to contact me by phone,my home phone number is(925)706-7689 and my cell phone number is(925)9844011. Sincerely, DIANNE ANGLE ENCLOSED: Completed application for ADVISORY HOUSING COMMISSIONER Cc: Geneva Green,Advisory Housing Commissioner;AHC file,secretary's file,personal file HOUSING AUTHORITY OF THE COUNTY OF CONTRA COSTA afForJalle busing solutions Application Adylsory Housing Commissioner to the Board of Supervisors sitting as the Mousing Authority Board of Commissioners (Please print or type) Name of Applicant: 1�°»1"t't 1 ,�n E r r Nome Address: ?'1 .3 OR s-r S-Y-RFA-7- (X/0) 799-943 3 + (Street) (Nome Phone including area code) 64 Business Name and Address: (Name of Company) (Work Phone including area code) (Street) Y -TSFafel— 71p) Occupation: &nfz4t�i� .�'.� •, . Com. • �� - �' Why are you interested in serving on the Advisory Housing Commission? J Q&tA-a-rV 14o LLs Fo 4 L er 4a t' .4.s 01✓,b 1jk C e s c /, 7'httS 1,! 4 &gAj& `r.7, rvzrR -*Ngo �OvA nam LJ� ?�tt�nr S - !3 t w o)�.L .j be A Plil t/t t,e c AND g S . Please list any Community Activities you are involved in: Koi iF a mi.,u,-,A,4 k tag'N e l l- Please list any Special Interest and Accomplishments: 10 ' %err R i�yAtoei4^u,�k l ►,�«�,,.► Continued on 2nd Page 3133 ESTUDILLO STREET•P.O.BOX 2759&MARTINEZ,CALIFORNIA 94553 PHONE(925)372-7400•FAX(925)372-0238 www,00ntracostahousing.org HOUSING AUTHORITY Of THE Education/Backg round: COUNTY Of CONTRA COSTA / ✓?,Q +t $" G '/ /C s rC /HJ T s/'(?"*'/�- Jvc J� /CX� b l�rr +v✓J J'��S`. a1111 rd6614 housing solutions Please list any Community Boards or Commissions you� serve on: ,.t c+ 1 )Irk s v �ILrL�t b� 5 1� � X�t'�s.yc,�s I�7 r��" .4'Fi�J o.Q J�vca !/•ti r c. Other comments: 4 7.#t-teirj TXA rN,ra&­ AN R/t�N`r i'" tai--Adq <f�csst or r,� i • — c ,a,� - - 1. ,Are you now a resident at a public housing development operated by the Housing Authority of the County of Contra Costa? 'Yes El NOS Note: Yes answers are not necessarily required to be eligible, 2. Do you now receive housing assistance under the Questions 2 & 3 are asked because some Advisory Housing Commission Housing Authority's Housing Choice Voucher {Section g } seats must be filled by a person receiving assistance under one of Program? Yes 0 No[J the Housing Authority's programs. Further, one seat must be filled by a 3. Are you 62 years of age or older? Yes 9 No❑ person receiving assistance under one of the Housing Authority's h. Will you be able to regularly attend monthly meetings programs and be over 62 years o age. 5 of the 7 Commission seats and Other related meetings, sessions, and are "at-large" and applicants are not required to be a recipient of conferences? Yes No assistance assistance and there is no age restriction. Signature ofapplicant: 4/Ir / � �� Date: crr> - ,.� - —- Note. Advisory Housing Commissioners are required to submit annual Conflict of Interest statements. Please return to: Robert McEwen, Executive Director Housing Authority of the County of Contra Costa P.C. Box 2759 Martinez, CA 94553 Advisory Housing Commissioner Application Housing Authority of the County of Contra Costa Page 2 of 2 3133 ESTUDILLO STREET•P.O.BOX 2759•MARTINEZ, CALIFORNIA 94553 i PHONE(925)372.7400•FAX(925)372-0236 www.contracostahousing.org HOUSING AUTHORITY OF THE COUNTY OF CONTRA COSTA Application Advisory Housing Commissioner to the Board of Supervisors sitting as the Housing Authority Hoard of Commissioners (Please print or type) Name of Applicants David A. Brady Home Address: 102 Chil a► ncingo Pkwy Apt# 103 925-689-9817 (Street) (Home Phone including area code) PlearantHill CA 95� 3-1379 (City) (State) (Zip) Business Name and Address: NONE (Warne of Company) (Work Phone including area code) (Street)(City) (State) (Zip) Occupation: Communication Electronic Technician 00100 to present) In Home Care Aide 1987 to present) -- Why are you interested in serving on the Advisory Housing Commission? I find the current direction of Housing in the Bay Area is leavin the working moor and low income without housing and voice. W atchina housinx divisions strow out of reach. Pseudo slums swell is size. f believe we must take voice and common sense actions to improve our community Please list any Community Activities you are involved in: I have been a election poll worker, Please list any Special Interest and Accomplishments: Education/Background: AA degree with multi-certificates in electronics. Please list any Community Boards or Commissions you serve on: Other comments: 1. Are you now a resident at a public housing development operated by the Housing Authority of the County of Contra Costa? No . 2. Do you now receive housing assistance under the Housing Authority's Housing Choice Voucher (Section 8 ) Program? No . 3. Are you 62 years of age or older? leo . 4. W ill you be able to regularly attend monthly meetings and other related meetings, sessions, and conferences? Yes Note: Yes answers are notnecessarily required to be eligible. Questions 2 & 3 are asked because some Advisory Housing Commission seats must be filled by a person receiving assistance under one of the Housing Authority's programs. Further, one seat must be filled by a person receiving assistance under one of the Housing Authority's programs and be over 62 years of age. 5 of the 7 Commission seats are "at-large" and applicants are not required to be a recipient of assistance and there is no age restriction. Signa urs of a licant: Date: Mote: Advisory Housing Commissioners are required to submit annual Conflict of Interest statements. Please return to: Robert McEw an, Executive Director Housing Authority of the County of Contra Costa P.O. Box 2759 Martinez, CA 9. 553 HOUSING AUTHORITY OF THE Li C CUNTY OF CONTRA COSTA aKoeclabla dousing solutions Application � � Advisory Housina Commissioner to the Board of Supervisors sitting as the Housing Authority Board of Commissioners (Please print or type) Name of Applicant. peter Garcia Home Address: 1473 Autumnwind Court 925-427-2309 (Street) (Home Phone including area code) Pittsburg, CA 94565 (City) (state) (Zip) Business Name and Address: Los Medanos College 925-439-2181 x3200 (Name of Company) (Werk Phone including area code) 2700 E. Leland Rd. (Street) Pittsburg, CA 94565 (City) (State) (Zip) Occupation: Interim President Why are you interested in serving on the Advisory Housing Commission? I am interested in providing opportunities for families to live in Contra Costa County regardless of income limitations. Open access-at CCCCD colleges is an empty promise if low income families can't stay in county. Please list any Community Activities you are involved in: ODAT, East County Boys & Girls Club, CLARO - Board of Directors Pittsburg Chamber of Commerce, Los Medanos College Outreach Please list any Special Interest and Accomplishments: I am especially interested in education, training and youth services. I am currently Intermim President at LMC Continued on 2"d Page 3133 ESTUDILLO STREET•P.O.BOX 2759•MARTINEZ,CALIFORNIA 94553•PHONE(925)372-7400*FAX(925)3720238 www.contracostahousing.org . s a, Education/Background: BA in Public Administration, BA in Philosph , Masters in Theology Please list any Community Boards or Commissions you serve on: see Community Activities Other comments: 1. Are you now a resident at a public housing development operated by the Housing Authority of the County of Contra Costa? Yes ❑ No® Note: Yes answers are not necessarily required to be eligible. 2. Do you now receive housing assistance under the Questions 2 & 3 are asked because Housing Authority's Housing Choice Voucher(Section 8some Advisory Housing Commission ) seats must be filled by a person receiving assistance under one of Program? Yes ® Nothe Housing Authority's programs. Further, one seat must be filled by a 3. Are you 62 years of age or older? Yes E] No[D person receiving assistance under one of the Housing Authority's 4. Will you be able to regularly attend monthly meetings programs and be over 62 years of age. 5 of the 7 Commission seats and other related meetings, sessions, and are "at-large" and applicants are not required to be a recipient of conferences? Yes M NoL assistance and there is no age restriction. Signature of agglicaW. Date: c�'---� r Note: Advisory Housing Commissioners are required to submit annual Conflict of interest statements. Please return to: Robert McEwan, Executive Director Housing Authority of the County of Contra Costa P.O. Box 2759 Martinez, CA 94553 Advisory Housing Commissioner Application Housing Authority of the County of Contra Costa Page 2 of 2 h:\robertrnwwan\msoffice\wlnword\ahc\ahc application.doc H OUS IN(21 AbTH 0 RITY CP THE COUNTY OF CONTRA, COSTA ra {` affordable housing solutions Application r,.. Advisory Housing Commissioner -L2 to the Board of Supervisors sitting as the Housing Authority Board of Commissioners (Please print or type) AName of Aur�lfcant: Home Address: ++ (Street) G (Horne Phone including area code) 1V� fo Y, (City) (State) (Zip) Business Name and Address: S 510 a]-t' 6,0,20 R .. — 46YO ( 'con Co a y) (Work Phone including area code) (Street) CE ( ity) te) (Zip) Occupation: � C. Why are you interested in erving on the Advisory Housing Commission? 1� t. c� Please list any Co unity Activities you are involved in: �� Please list any S ecial Interest and Accomplishments: Education/Background: ;t�{ C Please list any Community Boards or Commissions you serve on: IrLTy Other comments: h 42,04 12&,.G.a— fgv'-- 1. Are you now a resident at a public housing development operated by the Housing Authority of the County of Contra Costa? Yes ❑ Now Note: Yes answers are not necessarily required to be eligible. Questions 2 & 3 2. Do you now receive housing assistance under the Housing are asked because some Advisory Housing Commission seats must be Authority's Housing Choice Voucher(Section 8 )Program? filled by a person receiving assistance under one of the Housing Authority's Yes 11 Nop programs. Further, one seat must be filled by a person receiving assistance 3. Are you 62 years of age or older? Yes [] Nqu under one of the Housing Authority's programs and be over 62 years of age. 5 4. Will you be able to regularly attend monthly meetings of the 7 Commission seats are"at-large" and applicants are not required to be a and other related meetings, sessions, and recipient of assistance and there is no age restriction. conferences? Yes Nod Signature of a licant; Date: Note: Advisory Housing Commissioners are required to submit annual Conflict of Interest statements. Please return to: Robert McEwan,Executive Director Dousing Authority of the County of Contra Costa P.O.Box 2759 Martinez,CA 94553 HOUSING AUTHORITY OF THE COUNTY Of CONTRA COSTA afforJal,l:Irousing solutions Application Advisory Housing Commissioner to the Board of Supervisors sitting as the Housing Authority r Board of Commissioners (Please print or type) 1 Name of Applicant: Z-. Home Address: (Street) (Home Phone including area code) CL�r-� � � Y3 (State) (ZIP) Business Name and Address: (Name of Company) (Work Phone including area code) (Street) (City) -(Staate Occupation: -- �.A0A6- Q- b C7�t' t.A -to►�s Why are you interested in serving on the Advisory Housing Commission? � ets'r ,e, ;� l C V4 1L. F zusse taij. tj `-- ----- f Please list any Community Activities you are involved in: Please list any Special Interest and Accomplishments: 9-s kLLJLb"�''„�,-T-� i Continued on 2nd Page 3133 ESTUDILLO STREET•P.O.SOX 2759•MARTINEZ,CALIFORNIA 94553•PHONE(925)372-7400 FAX(925)372-0238 www.contracostahousing.org HOUSING AUTHORITY OF THE Education/Background: OUNTY Of CONTRA COSTA IlAw i PZj on A itift }� al'ordabla Dousing solutions Please list any Community Boards or Commissions you serve 7•3- WAS L,P-AVIps& R f .b. Other comments: c.. s k- ,q, Ati n C Avc.. Aho A ky c' iKftiv, 1. Are you now a resident at a public housing development operated by the Housing Authority of the County of Contra Costa? Yes ❑ N1 Note: Yes answers are not necessarily required to be eligible. 2. Do you now receive housing assistance under the Questions 2 & 3 are asked because some Advisory Housing Commission Housing Authority's dousing Choice Voucher (Section 8 } seats must be filled by a person Program? Yes ❑ No receiving assistance under one of 9 the Housing Authority's programs. Further, one seat must be filled by a 3. Are you 62 years of age or older? Yes ❑ No person receiving assistance under one of the Housing Authority's 4. Will you be able to regularly attend monthly meetings programs and be over 62 years o age. 5 of the 7 Commission seats and other related meetings, sessions, and are "at-large" and applicants are not conferences? Yes L i'Vo❑ required to be a recipient of assistance and there is no age restriction. Signature of applicant: Date: 9 ` Note: Advisory Housing Commissioners are required to submit annual Conflict of Interest statements. Please return to: Robert McEwan, Executive Director Housing Authority of the County of Contra Costa P.O. Box 2759 Martinez, CA 94553 Advisory Housing Commissioner Application Housing Authority of the County of Contra Costa Page 2 of 2 3133 ESTUDILLO STREET P.O.BOX 2758•MARTINEZ,CALIFORNIA 94553•P ONE{925}972-74170 A {92 -0 W www.contracostahousing.org -rte- + Carl J. McConWOk 508 Isabel Cir. • Martinez,CA 84553+ (925)912-8014 E-malt•Chase��Earthiink Net OBJECTIVE: A responsible position InExec Ave Protection,Inveellgatione,AsW Recoveries and/or working witrt-Iocai authorities In solving company Dues utilizing my extensive background In Implementing,developing and saving company assets and revenue. SUMMARY: Over 12 years experience in Investigations in the public and privatesector. Served as a Police Officer, Detective,Special Agent,and Instructor for the City of Richmond Police Department. Excellent communication and facilitation skills,commended for exemplary leadership and training skills. ,- c3 Professional Experience: r Peoplesoft, Inc. 1999 2002 Projects Manager, Corporate lnvestlgatlons/Executive Services a • Supervised investigations for e000 employees • Developed and Implemented company asset security policies.These policies resulted in decreased thefts well below the national average saving the company over$800,000 in company assets • Conducted corporate,domestic and international investigations Including but not limited to background audits • Supervised Executive Protection and Global Travel Advisories • RespWsible for is protection iof the CEO and top executive, . • Devbl�sped andimplemented;.training for orrslte security'.persorrnel •`" Assisted:wi ,: ,termination's. c' • Mbnitored and conducted compapy-wideAsset Recovery program.Re"cover'ed oriel•X50,000 in lost assets aind'revenue • Coordinated with Regional Managers,Corporate Legal,Hunw Resources and local police Departments • Managedover 20 contract employees at any given time City of Richmond Police Department, Richmond, CA 1990 -1999 Police Officer/Trainer Special Assignments included: • Assigned as Team Leader forr the 10 member Entry Team for the S.W.A.T. (Special Weapons and Tactics)force • Uniformed Patrol Division resulting Ina lower neighborhood crime rate of 20%and was the first police officer to receive Cltizen of.the Month.from the Beldingwood neighborhood Nominated for Police Officer of the Year in 1897 e Nominated for Detwtive of the Year In,1994, , "• 12xpldrer AcoK"—°Supervigor;.rrrentodng young adults from Cad6ft Into pollen 6Mcere • -Assigned to Community Oriented Policdng{COP).to establtsh.communication between the Police Ddpartrhent:and citizens of the Rlohmond community.'(`his program is still In place due to it's original success l �t r 2- # Carl J. McCormick # SM Isabel Dr. • Martinez,CA 94553 • (925)372-9014 E-mail:Chaseii@Earthlink.Net • Special Agent;Task Force working with Municipat,State and Federal agencies in major narcotic cases that resulted in several arrests and the forfeiture of over$50,000 in cash and assets • Detective, Burglary Division',led the unit in search warrants for three years in CIB that resulted In numerous arrest and the seizure of cash and assets Departmentat Instructor,assisted in developing and implementing the Defensive Tactics program • Background Investigator(Certitled) CERTIFICATIONS: A.S. Degree In Electronics Background Investigator Graduate of Center for Professional Investigations Training(CPIT) Graduate of Robert Presley's Institute of Criminal Investigations(ICI) Post Basic and,tntermedlate Certificates Tear Gas Certification WeaponsWeaponiess Defense Instructor Executive Protection Academy Plus Black Belt Kenpo Karate Behavior AnalysisAnterview&Interrogation Concealed Weapons Permit(Utah/FloridalCallfornia) Professional Memberships: American Society for Industrial Security(A$IS) American Threat Assessment Program(ATAP) California Narcotics Association(CNOA) Asian Police Officer Association(APOA) Richmond Police Officer Association(RPDA) Awards: Annual Performance Award for Top Ten Patrol Letter of Commendation—PBI Letter of Commendation—DEA Letter of Commendation—City of Richmond Letter of Commendation—City of Hercules Citizen of the Month from the Belding Wood neighborhood in Richmond Top Athlete in 112 Academy Recovery of Stolen Autos(10551 VC)Award presented by California Highway Petrol Service Award from the City of Richmond while assigned to the Mce/Narcotics Unit Additional Skills: CAFM System—FacilitiestPersonnel Security Management Software Microsoft Word Excet Lotus Notes Internet Explorer Commended for excellent instructional skills 2 HOUSING AUTHORITY OF THE :BOUNTY OF CONTRA COSTA affordebte housing solutions Application Advisory Housine Commissioner to the Board of Supervisors sitting as the Housing Authority Board of Commissioners (Please print or type) Name of Applicant: 1-r-6 1V%iO�. ,t 1 1 ,+'tlC�.�G�/(I Home Address: ( �� �, f��� (Home Phone including area code) (City) t�• (State) ,�+� (Zip) Busin/ep/Jsss�Name and Address: a (Name of Compan Idl) (Work Phone including area code) 40 treat) (City) (State) (Zip) Occuuation: r- !l Lf)6WEE59 s t-Z� — 70 ,+ Why are you interested in serving on the Advisory Housing Commission? a Of- Seg�aE AT DE 1!Z1=dL r - �D Gt1y�K LtJ fife 'TIM -)wM /7" J�i'�1t7 �" 4-7" 2DA6k ` .� C o!!F L `T ,rS Please list any Community Activities you are involved in: Please list any Special Interest and Accomplishments: Education/Background: s � � .ZtiZ1C' Please list any Community Boards or Commissions you serve on: Other comments: 1. Are you now a resident at a public housing development operated by the Housing Authority of the County of Contra Costa? Yes ❑ NON Note: Yes answers are not necessarily required to be eligible. Questions 2 & 3 2. Do you now receive housing assistance under the Housing are asked because some Advisory Housing Commission seats must be Authority's Housipngg Choice Voucher(Section 8 )Program? filled by a person receiving assistance Yes F1 Nounder one of the Housing Authority's programs. Further, one seat must be filled by a person receiving assistance 3. Are you 62 years of age or older? Yes ❑ NON under one of the Housing Authority's programs and be over 62 years of age. 5 4. Will you be able to regularly attend monthly meetings of the 7 Commission seats are"at-large" and applicants are not required to be a and other related meetings, sessions, and recipient of assistance and there is no conferences? Yes lN No E] age restriction. Signature of applicant: Date: 7— k.- Note: Advisory Housing Commissioners are required to submit annual Conflict of Interest statements. Please return to: Robert McEwan,Executive Director Housing Authority of the County of Contra Costa P.O.Box 2759 Martinez,CA 94553 CD HOUSING AUTHORITY .t w . Of THE :�.. COUNTY Of CONTRA COSTA r ter:, �'K a{y;n�nlain Ier,..nant�r.f+.t8ans Application "`�' A+dv aulij U.4uaina gommissioner to the Board of Supervisors sitting as the Housing Authority Board of Commissioners (Please print or type) Name of ARp1lcent: Rev. Henry L. Perkins His Ate: 4485 St. John Lane (925) 427-7743 Pittsburg, (Street) CA 94565 (Nome Phone including area code) (city) (State) 77ip� l3tisinass Mama and A idrosa: First Baptist Church (925) 432-7498 204 Odessa A enU�Company) (Work Pune including area code) Pittsburg, (street)CA 94565 ity (gists) ( 'P) occuip on: Pastor Why are you interested in serving on the Advisory Housing Commission? My interest for serving on this commission is to contribute my 20+years in the housing/real estate indusby to the community. In addition, my service as Pastor in the PitttTrff— cQMmmnjjy for over 11 years,,has given,me great insight to some challenges and needs in which I believe our housiniz com onents can assist many residents. Please list any Community Activities you are involved in: City of Pittsburg Herita a Festival, Boys & Girls Club After-School Program, FBC Summer Youth Recreation Program, PittsburgPre-School Immunization Annual Event & Homebuyers Seminars. Please list any Special interest and Accomplishments: CA Licensed R.E. Sales Associate, Instructor for Ohlone College Life Skills Workshop, HUD Mortgagd Underwriter, Instructor for Mortgage Bankers Homebuyers, Seminar, & Propqty Manager. Continued on 2"d Page 3133 ESTUDILL0 STREET r POBOX 2759 0 MARTINEZ,CALIFORNIA 94653 0 PHONE(975)372-7400 i FAX(425)372-7236 www r,p�tr�t:aist�hm¢kng nrp ducatlonl8t3itrlrgroufid. ter of Divini -American Ba fist Seminary, Bachelor of Arts-G"olden.State School ofTheology,Associate oArts-College o .. g -`ce se. CA Real estate Sale erson please list any Community Hoards or Commissions you serve on: City Pittsburg-�Leisure Services Board ntra_Costa County Children & Family Health Services Redesign Committee Other comments: 1. Are you now a resident at a public housing development operated by the Housing Authority of the County of Contra Costa? Yes 0 NON (vote: Yes answers are not necessarily required to be eligible. 2. do you now receive housing assistance under the Questions 2 & 3 are asked because HousingAuthority's Housing Choice Voucher Section 8 some Advisory filed Commission � � sesta. moat be t'tiied by ra person receiving assistance under one of Program? Yes D No the Housing Authority's programs. Further, one.seat must be filled by a 3. Are you 82 years of age or alder? Yes [] No[R person receiving assistance under one of the Housing Authortty's 4. Will you be able to regularly attend monthly meetings programs and be over 62 years of age. 5 of the 7 Commission seats and other related meetings, sessions, and are oat-large" and applicants are not required to be a reclpl+ent of conferences? Yea C No[] assistance and there is no age restriction. �r �T Signatureof eiop{icant: mate: �. Note: Advisory Housing Commissioners are required to submit annual Conflict of Interest statements. Please return to: Robert McEwan, Executive Director Mousing Authority of the County of Contra Costa P.O.Box 2759 Martinez,CA 94663 Advisory Housing Commissioner Application Housing Authodty of the County of Contra Costa Page 2 of 2 h:Vobeftc wantmaofttak%Gnwordlnhclahe application.doc Federal D. Glover 315 East Leland Road Pittsburg,CA 94565 Supervisor,District Five � (925) 427-8138 Contra Costa County (925)427-8142 Fax Board of Supervisors (925)634-5915 Toll Free P August 29,2402 SEP 3 2002 Supervis Gayle Uilkema SUPERVISOR GAYLE Contra osta County 651 Pine Street Room 148A Martinez, California 94553 Dear Supervisor Uilkema; I am extremely pleased to be able to write this letter of support and recommendation for Reverend Henry Perkins for the appointment of the At-Large position vacated by Alice Latimer to the Contra Costa County Housing Authority Board. I have worked with Reverend Perkins in several different capacities and have always found him to be an effective representative and professional in all his dealings. Reverend Perkins would,in my view,be a positive addition to the Housing Authority Board. He would serve the Administration and the people of Contra Costa with the commitment of creating and maintaining the highest quality of life. If you have any questions, please do not hesitate to contact me. Sincerely, Federal (Glover Supervisor,District V E-Mail:dist5@bos.co.contra-costa.ca.us Antioch Bay Point • Bethel Island • Oakley Pittsburg �2 .51 HOUSING AUTHO Y OF THE }- COUNTY Of CONTRA COSTA afrorda6le housing solutions Application Advisory„Housing.Commissioner. to the Board of Supervisors sitting as the Housing Authority r Board of Commissioners (Please print or type) , Name of Applicant: T "V ,1 Gly A 0r,11AZ Home Address: CP Com , ,.., :P.� (street) (Home Phone including area code-) Business Name and Address: (Name of Company) (Work Phone including area code) (Street) t b fes- j� r (city) tee p Occupation:- y- '. .,g at sr” r4A".:� y �� � �•- d�. � Why are you interested in serving on the Advisory Housing Commission? _ � -- ,n, Please list any Community Activities you are involved in: PIeeseti'sTa'ny pecial !merest andAccomplishments: ;r,-, U (,,„y,.tia � �. � 7�` d�•w, n.w-, r f r S 6..r.s w, .. �: S ls�., Continued on 2nd Page 3133 ESTUDILLO STREET P.O.BOX 2759 MARTINEZ,CALIFORNIA 84553 0 PHONE(925)372-7400 FAX(925)372-0236 www.contracostahausing.org �:}2. 7 1 HOUSING AUTHbtY CE THE Education/Background: UNTY DE CONIRATA 4 1-11 -S efFoy&6lshousingsolutions Please list any Community Boards or Commissions you serve.on: Other comments: yvtv4 4 tom-- ,d lr.� r - • ,�+t 2.0 X) r— ,14 ' Ae,� l _ ,I Wil" 1. Are you now a resident at a public housing development operated by the Housing Authority of the County of Contra Costa? Yes ® Nog Note: Yes answers are not necessarily required to be eligible. 2. Do you now receive housing.assistance under the Questions 2 & 3 are asked because some Advisory Housing Commission Housing Authority's Housing Choice Voucher {Section 8 } seats must be filled by a person Program? Yes ❑ No receiving assistance under one' of g the Housing Authority's programs. Further, one seat must be filled by a 3. Are you 62 years of age or older? Yes;J.'rl NoE] person receiving assistance under one of the Housing Authority's 4. Will you be able to regularly attend monthly meetings programs and be over 62 years o age. 5 of the 7 Commission seats and other related meetings, sessions, and are "at-targe" and applicants are not required to be a recipient of conferences? Yes � NoCI assistance and there is no age restriction. Signature of a-pplicant. ,, _ ,� Date: o/ o/�.*U .z-_, Nate: Advisory Housing Commissioners are required to submit annual Conflict of Interest statements. Please return to: Robert McEwan, Executive Director Housing Authority of the County of Contra Costa P.O. Box 2759 Martinez, CA 94553 Advisory Housing Commissioner Application Housing Authority of the County of Contra Costa Page 2 of 2 3133 ESTUDILLO STREET 0 I.O.BOX 2759 0 MARTINEZ,CALIFORNIA 94553•PHONE(925)372-7400 0 FAX(925)372-0236 www.contracostahousing.org Mary Rocha works for The Perinatal Council as a coordinator for the Family Resource Center. Mary has 25 years experience as a community organizer and activist concerning family and children's issues in East Contra Costa.Her recognition for the need of low cost day care, resulted in the establishment of the "Mary Rocha Child Development Center". Mary has served 16 years on the Antioch School Board, 8 years on the Antioch City Council, and 4 years as Mayor. Mary has a bachelor degree in the area of Public Administration and has been trained by the COR.O Foundation in Public Affairs and Leadership. She was a recipient of the "Maya Citizen of the Year"award for services in the Hispanic community. Mary's community activities include the following: Delta Kiwanis,Antioch Woman's Club, Public Environmental Health Commission, Chair of the Latino Leadership Council of Contra Costa, Soroptomist, Chair of Delta 2000, and founding member of the East County League of United Latino American Citizens(LULAC). HOUSING AUTHORITY OF THE COUNTY Of CONTRA COSTA "goAahle housing Solutions r Application r, Advisory Housing Commissioner to the Board of Supervisors sitting as the Housing Authority ? Board of Commissioners (Please print or type) Name of Applicant: She nN L e iLtC Eta Home Address: (Street) (Home Phone including area code) bre CA IqS[b y (state) p Business Name and Address: r Cv .. ,1rre,N (Name of C pany) (Work Phone including area cede) {Stre !S!S 3 I y (State) Ip Occupation: � no= iOwe ft.11CB� Why are you interested in serving on the Advisory Housing Commission? Please list any Community Activities you are involved in: Please list any Special Interest and Accomplishments: C Continued on 2nd Page 3133 ESTUDILLO STREET•P.O.BOX 2759 0 MARTINEZ,CALIFORNIA 94553 s PHONE(925)372-7400 FAX(925)372-0236 www.contracostahousing.org / /Z) scl HOUSING AUTHORITY Of THE Education/8ackground: COUNTY Of CONTRA COSTA .{Fordable housing solutions Please list any Community Boards or Commissions you serve on: ej_C Other comments: All®!Se f. c .s1 1. Are you now a resident at a public housing development operated by the Housing Authority of the County of Contra Costa? Yes 0 NoX Note: Yes answers are not necessarily required to be eligible. 2. Do you now receive housing assistance under the Questions 2 & 3 are asked because some Advisory Housing Commission Housing Authority's Housing Choice Voucher (Section 8 ) seats must be filled by a person receiving assistance under one of Program? Yes 0 NoZ the Housing Authority's programs. Further, one seat must be filled by a 3. Are you 62 years of age or older? Yes El NoIN person receiving assistance under one of the Housing Authority's 4. Will you be able to regularly attend monthly meetings programs and be over 62 years o age. 5 of the 7 Commission seats and other related meetings, sessions, and are eat-large" and applicants are not required to be a recipient of conferences? Yes4 No0 assistance and there Is no age restriction. Signature of applicant: Date:_1 la -+ ( o Note: Advisory Housing Commissioners are required to submit annual Conflict of Interest statements. Please return to: Robert MCEwan, Executive Director Housing Authority of the County of Contra Costa P.O. Box 2759 Martinez, CA 94553 Advisory Housing Commissioner Application Housing Authority of the County of Contra Costa Page 2 of 2 3133 ESTUDILLO STREET•P.O.BOX 2759 i MARTINEZ,CALIFORNIA 94553•PHONE(925)372-74015•FAX(40r)372=0235 www.contracastahousino.org WHY ARE YOU INTERESTED IN SERVING ON THE ADVISORY HOUSING COMMSSION? As a social worker one of the main factors regarding a family staying together is housing. So often many of our children in foster care are on a case plan that includes their parents obtaining stable housing. Unfortunately the affordable housing in Contra Costa County is very scarce. Therefore, I would like to be part of a positive commission to address the needs of our families around housing.Additionally, I believe that housing is only a small fraction of a family's needs. I believe through some innovative housing sites that some issues regarding education,employment,childcare, substance abuse and parenting can be addressed to promote self sufficiency and expectations of high quality and affordable housing. PLEASE LIST ANY COMMUNITY ACTIVITIES YOU ARE INVOLVED IN: "Family to Family"which is a collaborative effort among and between West, Central, and East Contra Costa County and Contra Coast County Department of Human Resources. PLEASE LIST ANY SPECIAL INTEREST AND ACCOMPLISHMENTS: As a member of a housing Co-operative in San Mateo County(prior to moving to Brentwood)I was elected to the Board of Directors and served as the President, Secretary and Chief Financial officer over a period of 6 years. My duties included attending National Association of Housing and Redevelopment conferences meetings once a year, holding monthly board meetings to apprise the members of the monthly budget, signing checks regarding paying staff/management company and bills. I accepted bids for contractual work and funded mandated bank account reserves used to repair the 106 units in accordance with federal guidelines. As part of the board and in the capacity of leadership I researched and hired an auditor,hired or dismissed management companies and other related duties while overseeing a 1.3 million dollar complex. Additionally I believe that "Low income does not mean low quality"and strive to dispel the stereotype of Section 8 housing and to insist on quality from landlords and renters. OTHER,:COMMENTS: I work well in a team situation as demonstrated through my internship with Congressman Lantos,as a social worker in Contra Costa County, as a mentor,as a parent and part of a large family and as an interested member of the community. Additionally, I possess a sense of humor that I feel is essential to balance the seriousness of the paths I have chosen to travel on my journey as it pertains to my job and community participation. HOUSING AUTHORITY Of THE1:16 COUNTY Of CONTRA COSTA afforda6la 6usinq solutions Application Advisory Housing Commissioner to the Board of Supervisors sitting as the Housing Authority Board of Commissioners (Please print or type)ff Name of Applicant: Home Address: K91 O-Al OkA5AOT �(IS.treat) r A I 5,Z (Home Phone including area code) (Cits 1. y (State) Ip Business Name and Address: (Name of Company) (Work Phone including area code) (Street) Ity ate (zip) Occupation: Why are you interested in serving on the Advisory Housing Commission? ,f i Please list any Community Activities you are involved in: Please list any Special Interest and Accomplishments: 7t& 264til!14 6�'� Continued on 2'i`' Page 3133 ESTUDILLO STREET•P.O.BOX 2759 0 MARTINEZ,CALIFORNIA 94553 i PHONE(925)372-7400 FAX(925)372-0238 www.contracostahousing.org HOUSING AUTHORITY Of THE Education/Background: COUNTY OF CONTRA COSTA afrorjagle kousing solutions s • Please list any Community Boards or Commissions you serve on: Other comments: 1. Are you now a resident at a public housing development operated by the Housing Authority of the County of Contra Costa? Yes'Z No® Note: Yes answers are not necessarily required to be eligible. 2. Do you now receive housing assistance under the Questions 2 & 3 are asked because some Advisory Housing Commission Housing Authority's Housing Choice Voucher (Section 8 ) seats must be filled by a person tte�rr,, receiving assistance under one of Program? Yes I fl No❑ the Housing Authority's programs. Further, one seat must be filled by a 3. Are you 62 years of age or older? Yes,i1 No❑ person receiving assistance under one of the Housing Authority's 4. Will you be able to regularly attend monthly meetings programs and be over 62 years o and other related meetings, sessions, and age. 5 of the 7 Commission seatsare "at-large" and applicants are not C_7 required to be a recipient of NO conferences? Yes assistance and there is no age restriction. Signature of applicant: - Date. �2- Note: Advisory Housing Commissioners are required to submit annual Conflict of Interest statements. Please return to: Robert McEwan, Executive Director Housing Authority of the County of Contra Costa P.O. Box 2759 Martinez, CA 94553 Advisory Housing Commissioner Application Housing Authority of the County of Contra Costa Page 2 of 2 9133 ESTUDILLO STREET•PO.SOX 2759•MARTINEZ,CALIFORNIA 94553•PW N {925 3 2- A %7M www.contracostahousing.org HOUSING AUTHORITY OF THE COUNTY Of CONTRA COSTA Zi alfordable kousing solutions Application Advisory_Housing Commissioner to the Board of Supervisors sitting as the Housing Authority `a Board of Commissioners (Please print or type) Name A iicant: w F=N `ly v&L Home Address: (_Street) (Name Phone including area code) r , a e Ip Business Name and Address: (Name of Company) (Work Phone including area code) (Street) FY-) ate p occupation: ' n_c)Az ;�Inl Why are you interested in serving on the Advisory Housing Commission? AS ( - f1� N iii l✓V 7,- v,i/ Please list any Co unity Activities you are involved in: T Cemo 6l Please list any Special interest and Accomplishments: I)v m,1A1'Q 1'f G1 Ger-1'V'L �S . arf A0 r =.- Continued on 2nd Page 3133 ESTUDILLO STREET•P.O.BOX 2759;MARTINEZ,CALIFORNIA 94553`PHONE(925)372-7400•FAX(925)372-0238 www.contracostahousing.org HOUSING AUTHORITY Of THE Education/Background: COUNTY Of CONTRA COSTA affordable housing solutions Please list any Community Boards or Commissions you serve on: Other comments: !/ 77 7 1. Are you now a resident at a public housing development operated by the Housing Authority of the County of Contra Costa? Yesj9 NOD Nota: Yes answers are not necessarily required to be eligible. 2. Do you now receive housing assistance under the Questions 2 & 3 are asked because some Advisory Housing Commission Housing Authority's Housing Choice Voucher `Section S ) seats must be filled by a person Program? Yes NoC� receiving assistance under one of the Housing Authority's programs. Further, one seat must be filled by a 3. Are you 62 years of age or older? Yes NoEl person receiving assistance under one of the Housing Authority's 4. Will you be able to regularly attend monthly meetings programs and be over 62 years o age. 5 of the 7 Commission seats and other related meetings, sessions, and are sat-large" and applicants are not required to be a recipient of conferences? Yes A NoCI assistance and there is no age restriction. Signature of applicant: _ Date: 4 Note: Advisory Housing Commissioners are required to submit annual Conflict of Interest statements. Please return to: Robert McEwan, Executive director Housing Authority of the County of Contra Costa P.O. Box 2759 Martinez, CA 54553 Advisory Housing Commissioner Application Housing Authority of the County of Contra Costa Page 2 of 2 3133 ESTUDILLO STREET P.O.BOX 2759•MARTINEZ,CALIFORNIA 94553 i Fk Nlr(926}372-7400 0 FAX(92 372-028 www.contracostahousing.org HOUSING AUTHORITY Of THE COUNTY OF CONTRA COSTA a4Toraakle housing solutions Application Advisory Housiho Commissioner UJ to the Board of Supervisors sitting as the Housing Authority ED Board of Commissioners (Please print or type) Name of Applicant. &RAC Home Address: (Street) ome Phone including area code) &A/ (state) p Business Name and Address: In,., cah,w a { e of Company) ork Phone including area code) {Str e (State) Ip Occupation: �� '` � '���� r z� r �'�1 ,. � v� j a Why are vou interested in serving on the Advisory HousiCommission? LzAaz T &L r3 t Please list Any Community Activities you are involved in: :If A61*XA w 4QOC--.e V'.7 � Please list any Special Interest and Accomp 'shments: Continued on 2"d Page 3133 ESTUDILLO STREET•P.O.BOX 2759•MARTINEZ,CALIFORNIA 94553 0 PHONE(925)372-7400 FAX(925)372-0236 www.contracostahousing.org V' 3 S7 HOUSING AUTHORITY Of THE Ed cation/Background: COUNTY OF-CONTRA COSTA a{{or a a ousing solutions Please lit any Community Boards or Commissions you serve on: fGI✓"` Other comments: 1. Are you now a resident at a public housing development operated by the Housing Authority of the County of Contra Costa? Yes 0 NorY-k'f Note: Yes answers are not necessarily required to be eligible. 2. Do you now receive housing assistance under the Questions 2 & 3 are asked because some Advisory Housing Commission Housing Authority's Housing Choice Voucher (Section 8 } seats must be filled by a person receiving assistance under one of Program? Yes EJ Not4 the Housing Authority's programs. Further, one seat must be filled by a 3. Are you 62 years of age or older? Yes El NO-'9 person receiving assistance under one of the Housing Authority's 4. Will you be able to regularly attend monthly meetings programs and be over fit years o age. 5 of the 7 Commission seats and other related meetings, sessions, and are "at-large" and applicants are not required to be a recipient of conferences? Yes) NoE] assistance and there is no age restriction. Sia nature of applicant:cant: _ nate: Note: Advisory Housing Commissioners are required to submit annual Conflict of interest statements. Please return to: Robert McEwan, Executive Director Housing Authority of the County of Contra Costa P.0, Box 2759 Martinez, CA 94553 Advisory Housing Commissioner Application Housing Authority of the County of Contra Costa Page 2 of 2 3133 ESTUDILLO STREET+�P.O.SOX 2759 0 MARTINEZ,CALIFORNIA 54553•P UNE(925)372- 00 { 2 www.contracostahousing.org