CROCKETT COMMUNITY SERVICES DISTRICT STATEMENT OF INTEREST. / APPLICANT QUESTIONNAIRE FOR COMMISSIONS, COMMITTEES AND BOARD "Please note that this form is a public record that may be subject to disclosure upon request" NOTE: PLEASE FILLOUT SEPARATE APPLICATION FOR EACH BOARD/COMMISSONYOUWISHTOSERVE ONCTVPEO/PRNTONL2 When Completed Return To: CCSD District Secretary, 850 Pomona Street, Crockett, CA94525 orviaemail DstnçisecrelaryplownCTOCRELCALS Wee encourage applicants to submit a separate statement letter to elaborate on your responses. We look forward to receiving your application. Telephone 510.7872992. Bolded items are required foracomplete application. INDICATE YOUR INTEREST NAME. ADDRESS Elena Gomez BOARD CITY/ZIP CR625 ()CCSD BOARD OF DIRECTORS PRIMARYPHONE ALTERNATIVE PHONE COMMISSIONS ()Budget & Finance (B&F) (Crockett ()Port Costa Sanitary (PCSAN) ORecreation (REC) (MLighting & Landscape (L&L) COMMITTEES ()Memorial Hall Advisory ()Personnel (Police Liaison EMAILADDRESS LENGTH OF RESIDENCE IN CROCKETT/PORT COSTA SE4EPoMIAAcAwY. (CVSAN) Sanitary 68ys ARE YOU CURRENTLY EMPLOYED OR RETIRED? Retired RELEVANTI EXPERIENCE RELATING TOTHISI POSITION_ akkalShect nextanswes SOMETHOUGHTS YOU BELIEVE MAY CONTRIBUTE TO IMPROVE BOARD/COMMISSION/COMMITTEE IFAPPOINTED. WHAI/HOWWOULD YOU CONTRIBUTE TO OUR COMMUNITIES? REFERENCESTWO,A IOTHER/FANFAMIyY MEMBERS): NAME lom Gusack ADDRESS fort Costa ADDRESS Ciocketf PHONE PHONE NAME Lovise Choqvette DATE Ct5pAhews SIGNATURE inabny Updatedo9/23 Relevant experience relating to this position - 15 years on the P1 Advisory Committee AKA Police Liaison Committee Resigned from both Committees in 2018 due to a work conflict; lam now retired, Iwould like to be involved again on some of the town committees. Some thoughts you believe may contribute to improve the 14 years on the REC Commission Commission- Have all the Commissioners walk the area they are responsible for under the L&L, including the knowing where the green light locations are SO they are familiar with the areas being discussed during the meeting. Iknowl would benefit from this suggestion. Also, la am concerned about the money that is given to the Crockett Public Services by the C and H for the upkeep of the Wanda Bypass. Ihave seen little upkeep over the past several years, what is the money being used for? My concern is the L&L will be approached to pay for that upkeep. Ifa appointed, what/how wouldlcontribute to our Communities? Ithink by donating my time and being involved, to offer opinions and vote for matters that would do positive things for the town of Crockett, volunteering at some of the different events, would be my contribution to the Community.