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HomeMy WebLinkAboutCOUNCIL - AGENDA ITEM - 08/19/2003 - RESOLUTION 2003-092 MAKING APPOINTMENTS TO VARIOUS AGENDA ITEM SUMMARY ITEM NUMBER: 29 FORT COLLINS CITY COUNCIL DATE: August 19, 2003 FROM: Wanda Krajicek SUBJECT:S : Resolution 2003-092 Making Appointments to Various Boards and Commissions. RECOMMENDATION: Staff recommends adoption of the Resolution. EXECUTIVE SUMMARY: A vacancy currently exists on the Commission on Disability due to the resignation of Ruth Bell Skogerboe. Councilmembers Tharp and Weitkunat conducted interviews and are recommending Jeffrey Harris to fill the vacancy with a term to begin immediately and set to expire on December 410 31, 2004. A vacancy currently exists on the Landmark Preservation Commission due to the resignation of Carole Stansfield. Councilmembers Roy and Hamrick conducted interviews and are recommending Ian Shuff to fill the vacancy with a term to begin immediately and set to expire on December 31, 2005. Vacancies currently exist on the Youth Advisory Board due to the resignations of Kaise Allen, Chance Olson, Pat McCosh and Cooper Liska-Smith. Applications were solicited and Mayor Martinez conducted interviews. Mayor Martinez is recommending Brendon Votipka,Erin Rooney to fill two vacancies with terms to begin immediately and set to expire on December 31, 2004. Adrienne Pickett and Rayan Peats are being recommended to fill the remaining two vacancies with terms to begin immediately and set to expire on December 31, 2006. RESOLUTION 2003-092 OF THE COUNCIL OF THE CITY OF FORT COLLINS MAKING APPOINTMENTS TO VARIOUS BOARDS AND COMMISSIONS WHEREAS,a vacancy exists on the Commission on Disability due to the resignation of Ruth Bell Skogerboe; and WHEREAS, a vacancy exists on the Landmark Preservation Commission due to the resignation of Carole Stansfield; and WHEREAS,a vacancies exist on the Youth Advisory Board due to the resignations of Kaise Allen, Chance Olson, Pat McCosh and Cooper Liska-Smith. NOW,THEREFORE,BE IT RESOLVED BY THE COUNCIL OF THE CITY OF FORT COLLINS that the following named persons be,and hereby are,appointed as members of the boards hereinafter indicated, with terms to begin immediately and to expire as set forth after the names: Commission on Disability Expiration of Term Jeffrey Harris December 31, 2004 . Landmark Preservation Commission Expiration of Term Ian Shuff December 31, 2005 Youth Advisory Board Expiration of Term Brendon Votipka December 31, 2004 Erin Rooney December 31, 2004 Adrienne4 Pickett December 31, 2006 Ryan Peats December 31, 2006 Passed and adopted at a regular meeting of the City Council held this 19th day of August, A.D. 2003. Mayor ATTEST: City Clerk APPLICATION FOR BOARD OR Cityof Fort Collins COMMISSION MEMBERSHIP �E: Application deadlines vary. Please check"CURRENT VACANCIES"listing for deadlines. "Please type or use black ink Return completed application to: -Please complete a separate application for each board orcommission membership City Clerk's Office (NOTE: Limit application to 2 boards) City Hall West "Please limit attachments to two pages 300 LaPorte Avenue •For questions or additional information call the City Clerk's Office,416-2525 P.O.Box 580 "Incomplete Applications will NOT be considered for appointment FAX: (970)221-6295 •1 year residency within Fort Collins Growth Management Area(map attached) •Registered Voter(applies to applicants 18 years or older) Name of Board or Commission: C C) M M I S S 10 in 0 in n IS A R i L 14 Name: /Te F F12� D. A R R I Residence: to I U e C t S t 1Z P 12 1 J Fe5we if C o) ( i n c C. n zip: R v S� I Mailing Address: S ig ►4'1 e- Zip: Day Phone:_ C-q 70) H 2 Q ^ I R Night Phone: 5;Am9 E-Mail Address: no n e Have you resided within the Fort Collins Growth Management Area(GMA)for one year?: U Yes ❑No(see attached map) Which Council District do you live in? (see attached map) �}k_ Are you a registered voter? NYes ❑No urrentOccupation: —A nn i t nA Employer: LBB_Lvhen r p vJ eA Me;.6iAi I tg Ltt Prior work experience: (please include dates) e v IN J"r I,(�� a c,r"If, 2OAn e YneReN C e 1 ouQjL, A cir� r fah c� 1N lien_bXSyr I P Il7 IjeiA_auclneaecl In�Ly,hmr, Sowip_ Ss,,pR IS10VIoiR2.3 Volunteer Work: (please include dates) S o u e i t r^ Q a f c Inc., ( L.b �,ou cP N1P.tMl�C'iC I A c f C oQ,2 Le e) f /nFttt�c Have you ever been convicted of a crime(except for minor traffic offenses that resulted only in a fine)? ❑ Yes f XNo If yes, please explain in complete detail. State the nature and approximate date of the conviction,the sentence imposed, whether the sentence has been completed,and any other information you consider to be relevant. Are you presently serving on a City board or commission? ❑Yes ZJo so,which one? 1 Why do you want to become a member of this particular board or commission? Awl t7 i s RA Lej f i y Is +n "tKJ 0 6a�.) �_ �Ine oars 6 P +.. 1 T' rJ � ern +h CLtS.B.b.Lerl Ar,J t 11 e l?r"rT _Sorie±�LTC) gal Sep yj eede Briefly explain what you believe are the three most important issues facing this board or commission, and how do you believe this b and or commission should address each issue?1) IS "` ` ec. 1 l Cu+s . To Let YJ2o21e KVi w 1hr+ f b � e e LLo c er e i e rZJ4 to h j ! e- OP SeRe 14 n 19 t Lie, r-r 2) T o 1 Mc- efZ ) ve e tAI To Lou, �t Pvtff A e_QeAL ncooleg 76 IIRoRole" _c W1 ML) ." CA V1 3) 'A/C r H 6-e n To e GInd U C MC04-CCel?-X ,nC r J. o a R 1' h COPM Vh in p k e r (e ii" c o , O 40 ki 0a, A in d Le)o)tN rto». 1 vthcRJ e $aih en )G'pl2 e �i 9ne,41 eir ef 4-o oN'Ir-iJnJ List any abilities, skills, licenses, certificates, specialized training, or interests you have which are applicable to this board or commission: n II Ps �7e2enCt OF getNc CIrSA� fed Qei3Og5 Wte� +AL(y ILL Avid Ae -F- I'lih5r L 14nu Leglel7<j I toVcAe ct t v AjLI+rCS Please specify any activities which might create a serious conflict of interest if you should be appointed to this board or commission: h t7 N e Have you attended a meeting of the board or commission you are applying to or talked to anyone currently on the board? l(Yes ❑ No Comments: t^ A-e,Ir_,0skej Ih rt�SAR [ Ly 1SJveI TkA t I.�rny T A; Lr<<I All applicants are strongly encouraged to attend a regularly scheduled meeting of the board or commission for which they are applying. Frequent nonattendance may result in termination of the appointment. The City of Fort Collins will make reasonable accommodations for access to City services,programs, and activities and will make special eo munication arrangements forpersons with disabilities. Please call416-2525 for assistance.� a �i Signature: - ,H-AJv Date: � 408 West St. Fort Collins,CO 80521 (970)482-1581 • Jeffrey D. Hams Professional Skills a 10 years experience in retail and restaurant environments, including assistant managerial duties. • Broad experience in purchasing and inventory control for restaurants, retail,and industrial businesses, including some supervision. • Stocking, receiving, display design, customer service, cashiering, and custodian duties. Custodian D&N Cleaning and Janitorial Inc. Fort Collins,CO 1997-1999 Emptying trash, sweeping, mopping, cleaning restrooms, vacuuming, and buffing the floors. Custodian Larimer County Custodial Services Fort Collins,CO 1995-1997 • Cleaning restrooms,vacuuming,mopping,sweeping,emptying trash and some detail cleaning. Stock Clerk K-Mart Fort Collins,CO 1986 • Responsible for stocking merchandise • Some sales in Hardware Sales Clerk Young's Liquor Fort Collins,CO 1983-1985 Cashiering and Stocking of merchandise Assistant Manager Sammy's Pizza Fort Smith,AK 1982 • Supervision of employees • Cashiering • Inventory and ordering of products Education Aims Community College Greeley,CO 1983-1986 • Completed with Associates in Engineering Technology APPLICATION FOR BOARD OR COMMISSION MEMBERSHIP "'Ityof� Po�� OTE:Applicati ill on deadlines vary. Please check"CURRENT VACANCIES"listing for deadlines. Late applicatinsons be kept on file for future vacancies. Return completed application to: City Clerk's Office City Hall West • Please type or use black ink 300 LaPorte Avenue Please complete one application for each board or commission membership P.O. Box 580 -Please limit attachments to two pages Fort Collins, CO 80522 For questions or additional information call the City Clerk's Office,416-2525 FAX: (970)221-6295 Name of Board or Commission: Landmark Preservation Commission Name: Ian Shuff Residence: 909 West Oak Street ZIp:80521 Mailing Address: 909 West Oak Street Fort Collins O Zip:80521 Day Phone: (970) 3-18 0 Night Phone:(970)419-27 0 E-Mail Address: ianshuff(a�hotmail.eom Years of Residence in Fort Collins: 2 Years Do you live within the Urban Growth Area? Which Council District do you live in? (see attached map) District 6 XYes ❑ No(see attached map) Current Occupation: Architect Intern Employer..Aller- finale Architects P °rior work experience: (please include dates) _Nix Farm Natural Area 8101/00 nrece i dilate Volunteer Work: (please include dates) American Cancer Society- R slay for Life june 7001 Have you ever been convicted of a crime(except for minor traffic offenses that resulted only in a fine)? ❑Yes XNo If yes, please explain in complete detail. State the nature and approximate date of the conviction,the sentence imposed, whether the sentence has been completed, and any other information you consider to be relevant Are you presently serving on a City board or commission? ❑ Yes XNo If so, which one? Why do you want to become a mem bar of this particular board or commission? To learn more abort Historic Briefly explain what you believe are the three most important issues facing this board or commission, and how do you believe this board or commission should address each issue? 1) Hist�s_tructures on the perimeter of the ine theRP areas and protect them from nPw riMPlnnnmPnfc On a MWQSr that' gY' M thp nron'nal contort of fn } p) Historic Preservation in the Historic Old Town District To allow new infill projects that relate And intPnratP to the ericfnn hinfnrir qtnint,wag 3) Adaptive reuse in Historic Old Town District The reuse of historic stn_ctures that respects resnects the ndninal riaeinn and rhararfPr wh'1 all wr-g it M h r < d f r r nt �nr ' g 2nd I' ' g Pnvdmnmpntq List any abilities,skills,certificates,specialized training,or interests you have which are applicable to this board or commission: A Bachelors of Architecture Decree from Montana State University, Worked with numerous H'istnric Preservation at mi"Pnt PmpingPr and nwn and live in a hnmP in n hit rir nP'phhorhn d in Fnrt r nlline Please specify any activities which might create a serious conflict of interest if you should be appointed to this board or commission: NnnP Have you attended a meeting of the board or commission you are applying to or talked to anyone currently on the board? XYes ❑ No Comments: All applicants are strongly encouraged to attend a regularly scheduled meeting of the board or commission for which they are applying. Frequent non-afte ance may result in termination of the appointment Q Signature: - Date: Z S 8 YOUTH ADVISORY BOARD rJf Fartcultina APPLICATION NOTE:Application deadlines vary. Please check"CURRENT VACANCIES"listing for deadlines. Late applications will be kept on file for future vacancies. Return completed application to: -Please type or use black ink City Hall West Please limit attachments to two pages 300 Laporte Avenue For questions or additional information P.O.Box 580 call the City Clerk's Office,416-2525 Fort Collins,CO 80522 Incomplete Applications will NOT be FAX:(970)221-6295 considered for appointment Name: Brandon Votipka Mailing Address: 2812 Cherrystone Place Zip; 80525 Phone: -970-206-0512 Are you under 21 years of age: XYes ❑No E-Mail Address: nhstenor(dyahoo.com Are you a registered voter(appam to to yrs or over)?❑ Yes X N Have you resided in the FC Growth Management Area for at least one year? Xyes ❑No(see attached map) if you are a student,which school do you attend? Poudre High School Current Grade Level: If you have a job,where do you work and what do you do? I work at Goldstone Creamefy(Qn Laurel&College) If you do any volunteer work,what kind of work do you do and where? Are you presently serving on a City board of commission? []Yes XNo If so,which one? Can you commit to meeting one day a month for at least 1 year? XYes ❑No Will you be able to provide your own transportation to meetings? XYes ❑No If you are under ft gge of 21 and still in school,have you discussed your participation on this board with your parent(s) or guardian(s)? Yes ❑No Have you ever been convicted of a crime(except for minor traffic offenses that resulted only in a fine)? ❑Yes XNo If yes,please explain in complete detail. State the nature and approximate date of the conviction,the sentence imposed, whether the sentence has been completed,and any other information you consider to be relevant. Briefly explain what you believe are the three most important issues facing the Youth Advisory Board,and how do you believe the!ward or commission should address each issue? 1) Showing teens that the city and community care for them is yryv important Through schools-teens activities should be sponsered by the city And pubticily for such h event needs to be increased (I haven't hpard of any arfivifiec Iikp thpceh p) Night and Weekend ootions for teens are very limited in Fort Collins, More D=and Achohaul free activities should be soonsered by the city. And oublicity for such event needs to be increased (I haven't hPard of any arfivifipc Iikp thpce) 3) The Yac is a valuble resource for teen,and should be publicised more in schools. List any abilities,skills,licenses,certificates,specialized training,or interests you have which are applicable to this board: Is)ny helping nthrps am enihuciaafin invinved and wnrk hard Please specify any activities which might create a serious conflict of interest'If you should be appointed to this board: Have you attended a meeting of the board or talked to anyone currently on the board? ❑Yes XNo Comments: All applicants are strongly encouraged to attend a regularly scheduled meeting of the Youth Advisory Board. Frequent non-attendance may result in termination of the appointment Signature: pate: YOUTH • BOARD c.rvefFeKcouu„ APPLICATION �lications received after June Owill not be considered for current vacancies.Late applications will be filed for future vacancies- •Please type or use black ink Return completed application to: •Please limit attachments to two pages City Clerk's Office •For questions or additional information call the City Nall West City Clerk's Office,416-2525 •I 300 LaPorte Avenue Incomplete Applications will NOT be considered ` ± P.O.Box 580 for appointment Fort Collins,CO 80522 EL ff IGIBILY REQUIREMENTS FAX: (970)221-6295 -1 year residencywithin Fort Collins Growth Management Area(map attached) -Registered Voter(applies to applicants 18 years or older) Name: Mailing Address: kh Tip Code: Phone: S$y-,5 S1 Gr,` Are you under 21 years of age: �Aes ❑ No 10 E-Mail Address: G� 'LQVe� DVJ2 (� Are you a registered voterlaoubayrseddw)? ❑YesID&o Have you resided within the Fort Collins Growth ManagementAr []Yes1ea(GMA)for one year?: Yes ❑ No(see aaa-dliedd m p) If you area student,which school do you attend? Current Grade Level: If you have a job,where do you work and what do you do? If u do an volunteer work, at kind of w do 'T` -� rO1V 4 C V. fk<, y� Y you do and where? t F-'r,nrSc9rS�� o� V�/� `AM Maccln 0� D'�tyl2 S ; yr'-,•ecan5�_ etc. Are you presently serving on a City board or commission?❑ Yes ;3No If so,which one? Can you commit to meeting one day a month for at least 1 year? Rl Yes ❑No Will you be able to provide your own transportation to meetings? A Yes ❑No If you are under the age of 21 and still in school,have you discussed your participation on this board with your parent(s) or guardian(s): ZYes ❑No Have you ever been convicted of a crime(except for minor traffic offenses that resulted only in a fine)? ❑ Yes 0 No If yes,please explain in complete detail. State the nature and approximate dale of the conviction,the sentence imposed, whether the sentence has been completed,and any other information you consider to be relevant. .Briefly explain what you believe are the three most important issues facing the Youth Advisory Board,and how do you believe the board or commission should address each issue? C-ib%oS miSey'M h2s 1n cC acf A ESNW m Cz►R A Y\vt\te5 4a \ct4•ecc-c - 0c,S -tn Aire \w-a\ Y`L\ Cam_ z, c no h v I ce e e��►d be bmk &c oas (etc Cn A(%A V-rink sum magi �J k �� S a P(`C V� bn -�V\V� kCWS)2(- nia 3) l-f�15 SYv ltr-� hare, Catn(\A okAla-Oec \-n _A& t C O List any abilities,skills, licenses,certificates,specialized training,or interests you have which are applicable to this board: =s_ucre nA i a-}ei-AS 3mP�65 n n c\ boys 2 rc-A a: lam o(\ 8 c\S Sc,G\h4a\1 kee�m r��s� Inc), �► �5 An hp oCCQ nd f o� } io P ease snecity any activities which might create a serious conflict of ipterest if you Th_,,'A he a000iotgd to this board: Have you attended a meeting of the board or talked to anyone currently on the board?❑Yes No Comments: h e mu rw- M;nC.: WA &� L',ncrin Oc N ---wnc% Ciec rid k 'V- bxG(-A r) me Paz ca v!SP oC my \oye n� t All applicants are strongly encouraged to attend a regularly scheduled meeting of the Youth Advisory Board. Frequent nonattendance may result in termination of the appointment The City of Fort Collins will make reasonable accommodations for access to City services,programs,and activities and will make special communication arrangements forpersons with disabilities. Please cog 416-2525 for assistance. �Signature: ; z Date. June. r`2 Jn� YOUTH ADVISORY BOARD otroccoaw APPLICATION . .. . . .. .. . OTE: Application deadlines vary. Please check"CURRENTVACANCIES"listing for deadlines. Late applications will be ept on file for future vacancies. •Please type or use black Ink Return completed application to: •Please limit attachments to two pages City Clerk's Office •For questions or additional information call the City Hall West City Clerks Office,416-2526 300 LaPorte Avenue •Incomplete Applications will NOT be considered P.O.Box 580 for appointment Fort Collins,CO 80522 ELIGIBILITY REQUIREMENTS FAX: (970)221-6295 -1 year residency within Fort Collins Growth Management Area(map attached) . nn__ •Registered Voter(applies to applicants 18 years or older) fr Name: / LiPrnrl et6 Mailing Address:nco ' Zip Code:106Z[� Phone:4cf0)?- 3 " Are you under?1 years of age: Zee O No E-Mail Address: b�K�atrP�coL rn Are you a registered voter(applies to iss or older)? O Yes VNo Have you resided within the Fort Collins.Growth Management Area(GMA)for one year?: to Yes ❑No If you area student,which school do you attend? ' iaa �Atuy Cy&—ilk t Current Grade Level: _ If you have a job,where do you work and what do you do? rl If you do any volunteer work,what kind of work do you do and where? fi)ct_c al l jrK k.o t m Sim G�fy1a K'I1�hM y1P 4-Y i P'tU Are you presently serving on a City board or commission? O Yes dNo If so,which one? Can you commit to meeting one day a month for at least 1 year? t/Yes ❑No Will you be able to provide.your own transportation to meetings? O Yes - O No If you are under gage of 21 and still in school, have you discussed your participation on this board with your parent(s) or guardian(s): Yes O No Have you ever been convicted of a crime (except for minor traffic offenses that resulted only in a fine)? ❑Yes W/N o If yes,please explain in complete detail. State the nature and approximate date of the conviction,the sentence imposed, whether the sentence has been completed,and any other information you consider to be relevant. i Briefly explain what you believe are the three most important issues facing the Youth Advisory Board,and how do you believe the board or commission should address each issue? ,) T 41- F , F e i ;< TF �raxt5D4t^� h rn kn nl r.os r'✓1 �f nlli�-� t u�f l be. br�nf�ev �rAf�X' . 2) :Rren!5 i rl -L. Cot l Lry rl, r�r)c+ VyC --e .trvt, v. n.-=�CO �'le_nct of in �Prd/L'�P. Cj� E�1fSf_ (.1 Gt� r7 flrY�PY>At� •I ,f rl[1 .�U, ,�X _ t. )ar t 4 Lfv" uAOLA r)o+ ►Y7 En (&=-✓IA /A�V}rAY' I ! 1 1 r -!�Lj (d be l ix t-x-ate LAO Q y -ubaA to r n 's lie 2 F w e. ,gym ert CO v) rr�A } f.0 'i4r t mDt raA1 �tlr^Po� �i M vrt'�v» t Lnrxv�y PA-r Leo �►^PrAI List any abilities,skills, licenses,certificates, specialized training,or interests you have which are applicable to this board: 7 I a y,+- ro-t t . r t r ak ` {(k )d aryl h-to-i n A b2 wT F-P �he, _ rr�r�i� .t rm Frrr 51-tA,il,er,+ lrnani '� i Please specify any activities which might create a serious conflict of interest if you should be appointed to this board: Ck Have you attended a meeting of the board or talked to anyone currently on the board? O Yes drNo Comments: All applicants are strongly encouraged to attend a regularly scheduled meeting of the Youth Advisory Board. Frequent non-aftendance may result In termination of the appointment The City of Fort Collins will make reasonable accommodations for access to City services,programs,and activities and will make special communication arrangements for persons with disabilities. Please call416-2525 forassistance. Signature: 04UAff &/U -V I" r6h Date. :3«qjV 06t Z(—XD_ YOUTH ADVISORY BOARD Ipef Fort Coltina APPLICATION NOTE:Application deadlines vary. Please check"CURRENT VACANCIES"listing for deadlines. Late applications will be kept on file for future vacandes. Return in application to: _please t or use black Ink City Clerk s Office �� City Hall West Please limit attachments to two pages 306 LaPorte Avenue For questions or additional information P.O.Box$80 call the City Clerk's Office,416-2525 Fort Collins,CO 80522 incomplete Applications will NOT be FAX:(970)221-6295 considered for appointment Name: Mailing Address: 2787 Canby Way Zip: 80525 Plane: _fl70 268 8f 82 Are you under 21 years of age: XYes ❑No E-Mail Address tinglhe refi Qhntmal com Are you a registered voter(apprm to is ym«olden?❑ Yes X N Have you resided in the FC Growth Management Area for at least one year? XYes ❑No(see attadad map) If you area student,which sdad do you attend? Liberty Common Charter School Current Grade Level: If you have a job,where do you work and what do you do? If you do any volunteer work,what kind of work do you do and where? Wamfino to volunteer at the shelter over the Are you presently serving on a City board of commission? ❑Yes XNo If so,which one? Can you commit to meeting one day a month for at least 1 year? Was ❑No Will you be able to provide your own transportation to meetings? XYes ❑No If you are under Ov yge of 21 and still in school,have you discussed your participation on this board with your parents) or guardtan(s)? AYes ❑No Have you ever been convicted of a crime(except for minor traffic offenses that resulted only in a fine)? []Yes XNo If yes,please explain in complete detail. State the nature and approximate date ofthe conviction,the sentence imposed, whether the sentence has been completed,and any other information you consider to be relevant. Briefly explain what you believe are the three most important issues facing the Youth Advisory Board,and how do you believe the board or commission should address each issue? 11e1: needs to be .,gM >i•,1 1 trying fn get MaLdhsinvolved I the community-This ✓,•I •A to participate 1 the W,Ir around g011 For example setting tin 2m=ms such having N. Ir r.:.r.: -N as r . brothers or l :n to less fortunate children,Or.having - r.P•Y.11 where youthscan come"ther and dean I. r... . help O,- : r.4r 11.- 1 ., ...K rl r.•].• . ..: 11..ICawdinhliq ... acnP-qjhtP • ,. lu Fort Collinsneedsmore U=ms including youth,We need r.U..Y•11 dAslaned to iG r.:y.Quths participate I the .N.Id A•. n he For -11r : II6r tinr, .Jt"•IIs such as I- 1W yaW people ac •.. brothers or 7-F to less fortunalA children or, 1. 11.. - r, •d1 -11 where youths 1 come togWher and clean n a park m •:,r thp - du PfdMV Thasp • .w r.a •:.:.r In r- n .hip and ... - • a in Vat iths Fort Collinsneeds to make a biggar effort •1 NW . 1 Id to d. :IJ people-t1: importance of LV to participate In the world r around nd them-FU -Il r : setting tin giggrams such as having d. Id people act . •.. brothers or sisters to lass fortunate children. • having - program where youths can Nome jMther and dean rpark r. r.- r IhP - •ar b.- - p=rnrns r.-:.• In r.- a r. Avwlf.hle andamnsgehIp tn • 1. Ust any .• specialized training,or r applicable to this board: • 11 . Muth myself 1:r ., understand what needs to be r, . l..:d 1 order • create a working communtmvwhere mths can 1.: active and rd,l a• have interests I volunteadrxi.and 1' r W the community.all of which Plem specify any activities rht create a serious conflict of interest 9 youshould .: appointed to this board: Have you attended a meeting of the board or talked to anyone currently on the board? OYes XNo Aff applicants are strongly encouraged to attenda regulartyschaduladmeating of the YouthAdvisory Board Frequent terminationnon-attendance may result in r. Date: