HomeMy WebLinkAboutApplication from Ian Greene for IHSS Advisory Committee Menchaca, Clarissa
From: Menchaca, Clarissa
Sent: Wednesday, October 17, 2018 4:55 PM
To: SOS
Cc: Boston, Shelby; Ramirez, Mariann
Subject: IHSS Advisory Committee Application
Attachments: Greene.pdf
Good evening—
Please see the attached application from Ian Greene for the IHSS Advisory Committee.
acte144-004• II
Associate Clerk of the Board
Butte County Administration
25 County Center Drive, Suite 200, OrovilIe, CA 95965
T: 530.552.33081 F: 530.538.7120
Twitter I Facebook I YouTube I Pinterest
`u�ati.;f;
County of Butte
:: APPLICATION FOR APPOINTMENT TO BOARDS, COMMITTEES, OR COMMISSIONS
Butte County
•CALIFORNIA
INSTRUCTIONS:Please complete this form in its entirety. Be sure to include the full title of the Board, Committee
or Commission for which you request consideration.
*Please note that this application is a public document and is subject to the California Public Records Act(CA Gov. Code
§6250-6270).
Board, Committee or Commission you wish to be appointed to: IHSS Advisory Committee
Seat Name(if applicable):
Supervisorial District you live in: District 1 El
NAME: Greene Ian Joseph
(Last) (First) (Middle/Initial)
ADDRESS: 200 Table Mountain Blvd #6 Oroville CA 95965
(Street) (City) (State) (Zip Code)
MAILING ADDRESS (if different from Home address):
HOME PHONE: (530)538-1268 WORK PHONE: OTHER:
EMAIL ADDRESS: bruceleeismyuncle@yahoo.com
OCCUPATION: IHSS Care Provider/U.D.W Butte County Union Rep
EDUCATION:
Check appropriate box: ■❑ High School Diploma ❑GED/CA High School Proficiency Certificate ❑College
Name of College/University Course of Study/Major Degree Awarded
1 Academy Of Art San Francisco I Fine Art/Illustration 1 None I
0 Please provide any additional college/university/schools/training completed on a separate page.
EXPERIENCE: Other County Boards, Committees or Commissions on which you have served:
I f v' ✓
LC•.r3Cs GPY0"; c. 0m : S _MAA
EXPERIENCE continued:
Additional applicable community experience and affiliations:
Delegate at the Nothern California Labor Federation
Other experience you feel would be helpful to the Board of Supervisors in making this appointment:
Hopefully being a care provider and union rep should suffice.
REFERENCES:
Please provide three(3) references with telephone numbers
1. Dwane Camp (415) 305-1481
2. Dr, William Reed (916) 396-6601
3. Kesha Haynie (530) 680-1661
*Members of boards, commissions, and committees may be required to:1)file a Statement of Economic
Interest Form also known as a Form 700, and 2)complete the State Ethics Training Course as required by AB
1234.
*Members may be required to take the following training:1) The Brown Act,2) The Better Government
Ordinance, and 3)Ethics Training.
*You may submit a résumé, letter of interest, and/or additional materials with this application.
*If you have any questions concerning the application process, a letter of interest or a specific appointment,
you may contact the Clerk of the Board at 530-552-3300.
Submit the completed application to the.Clerk of the Board of Supervisors, 25 County Center
Drive, Suite 200, Oroville CA 95965, or via e-mail at clerkoftheboard@buttecounty.net.