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FULL PACKET_2005-09-06
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FULL PACKET_2005-09-06
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1/3/2012 4:52:40 PM
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<br />CfIY OF SANTA ANA <br />ZUJ5 <br /> <br />-7 PI'1 3: 15 <br /> <br />Name (Mr., Mrs., Ms.) <br /> <br />APPLICATION FOR SERVICE <br />BOARDS I COMMISSIONS I COMMITTt~fy 0,;:'(' <br /> <br />C! r.:- <br />LL. <br /> <br /> <br />Tl\ ANA <br />,-," II" <br />UU _ <br />Rodriguez <br />LAST <br /> <br />Rigoberto <br />FIRST <br /> <br />MIDDLE <br /> <br />Home Address 918 E. Park Lane <br /> <br />Ward: ...~ <br /> <br />Precinct: (f),8 31 tJ; <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 riqoberto@sbcqlobal.net 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~ Driver's License No. <br />Birth Date Spouse's Name: Rosalba M. Hernandez <br /> <br /> <br /> <br />Years Lived/Worked in Santa Ana 12 Language(s) Spoken: English/Spanish <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 />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 aU 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 E THESE TWO FOR INTERNAL PURPOSES I 1,- <br />SIGNATURE DATE 6 _6 LOv <br />. <br />* This field must be compte in order for application to be processed. <br /> <br /> <br />This apprlCation will be retained , ~ie -T of the Council Office for 2 years. <br />
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