HomeMy WebLinkAboutItem 3.2 Senior Center Advisory Committee
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CITY CLERK
File # D[!J[l][Q]-[3J[Q]
AGENDA STATEMENT
CITY COUNCIL MEETING DATE: February 7,2006
SUBJECT:
Appointment to Senior Center Advisory CommAie~
Report Prepared by Fawn Holman, City Clerk~
ATTACHMENTS:
Applications received
RECOMMENDATION: " LA/' Confirm Mayor's appointment ofJim McCuen to Senior Center
\V'" ~ Advisory Committee to term ending December 2008.
FINANCIAL STATEMENT: None
DESCRIPTION: Due to the recent resignation of Luis Batiza from the Senior Center
Advisory Committee, there is one opening on the Committee. The opening was advertised and four
applications were received.
The Mayor has reviewed the applications and recommends the appointment of Jim McCuen to the Senior
Center Advisory Committee to fill the remaining portion of the term which ends in December 2008.
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COPY TO: Applicants
ITEM NO.
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Page 1 of 1
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~ RECEIVED
SENIOR CENTER ADVISORY COMMITTEE/TV OF DUBLIN
APPLICATION ,1M, .:. '/ 2006
CITY MANAGER'S OFFICE
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1. Why are you interested in serving on the Senior Center Advisory
Committee?
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2. ~hat knowledge do you have of the programs and services offered for
elder adults at the Dublin Senior Center?
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3. Have you or a family member taken advantage of the programs and
services offered at the Dublin Senior Center?
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4. Are there additional programs needed for elder adults in our
community? Please describe.
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What do you feel are some of the most pressing issues facing elder
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How do you feel about making a decision for the overall good of the
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7. What is the most important contribution you can make as a member of
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OCCUPATIONff2iL~ ~~
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In order to be considered by the Mayor for appointment to the Senior Center Advisory
Committee, please return this completed form to the attention of Fawn Holman, City Clerk,
100 Civic Plaza, Dublin, CA 94568 by 3:(JfI p.m.. Thur,'tllav. .lllnlmrll 26, 20(J6..
G:\APPTMTS\FORMS\scac-applicatn l..o6.doc
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SENIOR CENTER ADVISORY COMMITTE9TY (-, ,
APPLICATION ,1M),:
NAME
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1. Why are you interested in serving on the Senior Center Advisory
Committee?
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2. What knowledge do you have of the programs and services offered for
elder adults at the Dublin Senior Center?
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3. Have you or a family member taken advantage of the programs and
services offered at the Dublin Senior Center?
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4. Are there additional programs needed for elder adults in our
community? Please describe.
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5. What do you feel are some of the most pressing issues facing elder
adults in our society?
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6. How do you feel about making a decision for the overall good of the
community but unpopular with neighbors or organizations?
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7. What is the most important contribution you can make as a member of
the Senior Center Advisory Committee?
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OCCuPATION ~'w~
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In order to be considered by the Mayor for appointment to the Senior Center Advisory . j----
Committee, please return this completed form to the attention of Fawn Holman, Dty Clerk, ~
100 Civic Plaza, Dublin, CA 94568 by .i.-fIO p.m.. Thur.'illav. .Ianuarr 26, 2fHJ6.. ~
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SIGNATURE ~
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SENIOR CENTER ADVISORY COMMITTEE CITY OF DUBLIN
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2. What knowledge do you have of the programs and services offered for
elder adults, at the ~Iin Senior Center? -7/ l#~
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3. Have you or a amily member taken advantage of the programs and
services offered at the Dublin Senior Center?
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4. Are there additional programs needed for elder adults in our
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What do you feel are some of the most pressing issues facing elder
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6. How do you feel about making a decision for the overall good of the
community but unpopular with neighbors or organizations?
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7. What is the most important contribution you can make as a member of
the Senior Center Advisory Committee?
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SIGNA~ I! i!tr'~ OCCUPATION ~~..p
In order to be considered by the Mayor for appointment to the Senior Center Advisory
Committee, please return this completed fo,.", to the attention of Fawn Holman, City aerk,
100 Civic Plaza, Dublin, CA 94568 by 3:0() p.m., Thur.wlav. Januarv 26.2006.,
G:\APPTMTS\FORMS\scac-applicatn l-06.doc
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. RECE/VED
SENIOR CENTER ADVISORY COMMITrf1L1E OF OUBlIN
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APPLICATION "hr,
NAME ~ctf[Q f1~ ",\:),/7-
ADDRESS !I ~ 7 tI C{i~ I tL<< 'u a ~
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TELEPHONE#(HOMEiq~'S) ~5(-fJt3 (WORK:)~ 5 [D) t]/q-& / 7D
E-Mail Address kli7e e du @ A-DI-l Cd] Wl
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DATE
CITY MANAGER'S OFFICE
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4. Are re additional programs needed for elder adults in our '
CI. co:mun: Please d~Cribe.L ~
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What do you feel are some of the most pressing issues facing elder
adults in our society?
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6. How do you feel about making a decision for the overall ood of the
'ty but unpopular with neighbors or organizations? 1. \)
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OCCUPATION ~ '-~~
In order to be considered by the Mayor for appointment to the Semor Center Advisory
Committee, please return this completed form to the attention of Fawn Holman, City Clerk,
100 Civic Plaza, Dublin, CA 94568 by 3:00 p.m., Thursdav, JanuUl1l26, 2006..
G:\APPTMTS\FORMS\scac-applicatn l-06.doc