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<br />CITY OF SANTA ANA <br /> <br />"j!P:-: <br />APPLICATION FOR SERVICE L".J <br />BOARDS I COMMISSIONS I COMMITTE~S, <br /> <br />, J ?: 15 <br /> <br />(' <br /> <br />Name (Mr., Mrs., Ms.) <br /> <br />Rigoberto <br />FIRST <br /> <br />MIDDLE <br /> <br />Rodriguez <br />LAST <br /> <br />Home Address 918 E. Park Lane <br /> <br />Ward: .... '2:, <br /> <br />Precinct: (f).3 3 i La <br />(to be completed by Clerk staff) <br /> <br />Zip Code 92705 Home Phone (714) 289-1062 Fax (714) 289-1062 <br /> <br />E-Mail <br /> <br />Pager/Mobile 714.504.7446 Other <br /> <br />Employer self employed/ Rigoberto Rodriguez Consulting, Inc. <br /> <br />Occupation: Community Planning <br /> <br />Work Address 918 E. Park Lane <br /> <br />City: Santa Ana <br /> <br />Zip Code: 92705 Work Phone: 714.504.7446 <br /> <br />Soc. Sec. No.* 573-19-3513 <br /> <br />Driver's License No. C5760308 <br /> <br />Birth Date <br /> <br />04121/1969 <br /> <br />Spouse's Name: Rosalba M. Hernandez <br /> <br />Years LivedlWorked in Santa Ana 12 Language(s) Spoken: EnglishlSpanish <br /> <br />Organizations (Professional, Community, Service or other) <br />o Community Redevelopment & Housing Commission, Santa Ana <br />o American Association of Geographers <br /> <br />Educational Background: B.A. Comparative Literature/Spanish Literature (UC Irvine/1993); <br />M.A. Urban & Regional Planning (UC Irvine/1999) <br />Ph.D. Candidate, Urban Geography (USC/Expected Completion: August 2005) <br /> <br />Remarks (attach resume if available) <br /> <br />List Board(s)/Commission(s) <br />you would like to serve on: <br /> <br />1) Planning Commission <br /> <br />2) Community Redevelopment & Housing Commission <br /> <br />3) Santa Ana Workforce Investment Board <br /> <br />I am a registered voter in the City of Santa Ana. I have completed this application with the knowledge and <br />understanding that any or all items may be verified. I consent to the release of info~ contained in this application <br />to interested parties. EXCEPT SOCIAL SECURITY # & DRIVER'S LICENSE ~ NO <br />~ U~ESE TWO FOR INTERNAL PURPOSES I ~.- <br />SIGNATURE DATE 6 6 o~ <br />* This field must be comple in order for application to be processed. . <br /> <br />This application will be retained on file in the CIer1< of the Council OffICe for 2 years. <br />13C-2 <br />