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Home My WebLink AboutStaff Report 9149 CITY OF PALO ALTO OFFICE OF THE CITY CLERK May 9, 2018 The Honorable City Council Palo Alto, California Interviews of Candidates for the Historic Resources Board and the Human Relations Commission On Monday, April 30, 2018, City Council selected the following applicants to interview for the Historic Resources Board (HRB) and the Human Relations Commission (HRC). The City Council will be scheduled to vote to appoint candidates on Monday, May 21, 2018. Human Relations Commission The eight HRC applicants to be interviewed are as follows: 10 minute interviews A. William Morrison 6:00 P.M. B. Mark Weiss 6:10 P.M. C. Valerie Stinger 6:20 P.M. D. Kaloma Smith 6:30 P.M. E. Gabriel Kralik 6:40 P.M. F. Qifeng Xue 6:50 P.M. G. Kathy Johnson 7:10 P.M. H. Rebecca Eisenberg 7:20 P.M. There are three open terms (Chen, Stinger, and Vacant) ending May 31, 2021 on the Human Relations Commission. Historic Resources Board The three HRB applicants to be interviewed are as follows: 10 minute interviews I. Deborah Shepherd 7:30 P.M. J. Gogo Heinrich 7:40 P.M. K. Patricia Landman 7:50 P.M. There is one unexpired term open (Vacant) ending December 15, 2019 on the Historic Resources Board. Copies of all applications are attached. Some applications may be redacted at the request of the applicant. A full set of non-redacted applications will be provided to Council Members directly. Background Page 2 2.27.010 Historic Resources Board The Historic Resources Board shall be composed of seven members appointed by the city council and serving without pay. Members shall have demonstrated interest in and knowledge of history, architecture or historic preservation. One member shall be an owner/occupant of a category 1 or 2 historic structure, or of a structure in a historic district; three members shall be architects, landscape architects, building designers or other design professionals and at least one member shall possess academic education or practical experience in history or a related field. The Palo Alto Historic Association shall be given notice of vacancies on the board and shall be encouraged to have its members submit applications. (Ord. 5208 § 20, 2013) 2.22.010 Human Relations Commission Membership. There is created a human relations commission composed of seven members who are not council members, officers or employees of the city, who are residents of the city, and who shall be appointed by the city council. (Ord. 2924 § 1, 1976: Ord. 2537 (part), 1969: Ord. 2485 § 1 (part), 1969) ATTACHMENTS:  Attachment A: HRC - Morrison, William (PDF)  Attachment B: HRC - Weiss, Mark (PDF)  Attachment C: HRC - Stinger, Valerie (PDF)  Attachment D: HRC - Smith, Kaloma (PDF)  Attachment E: HRC - Kralik, Gabriel (PDF)  Attachment F: HRC - Xue, Qifeng (PDF)  Attachment G: HRC - Johnson, Kathy (PDF)  Attachment H: HRC - Eisenberg, Rebecca (PDF)  Attachment I: HRB - Shepherd, Deborah (PDF)  Atachment J: HRB - Heinrich, Gogo (PDF)  Attachment K: HRB - Landman, Patricia (PDF) Department Head: Beth Minor, City Clerk Page 3 Human Relations Commission Application 1 of 5 Personal Information Note: The HRC regularly meets the second Thursday of the month at 7:00 p.m. Name: Address: Cell Phone: ____ Home / ____ Office Phone: E-mail: Are you a Palo Alto Resident? ____ Yes ____ No Do you have any relatives or members of your household who are employed by the City of Palo Alto, who are currently serving on the City Council, or who are Commissioners or Board Members? ____ Yes ____ No Are you available and committed to complete the term applied for? ____ Yes ____ No California state law and the Ci require appointed board and commission members to file a detailed disclosure of their financial interests, Fair Political Practices Commission, Conflict of Interest, Form 700. Do you or your spouse have an investment in, or do you or your spouse serve as an officer or director of, a company doing business in Palo Alto which you believe is likely to; 1) engage in business with the City, 2)provide products or services for City projects, or 3) be affected by decisions of the board or commission you are applying for? ____ Yes ____ No Excluding your principal residence, do you or your spouse own real property in Palo Alto? ___ Yes ___ No How did you learn about this vacancy? ____ Community Group ____ Email from City Clerk ____ Palo Alto Weekly ____ Daily Post ____City Website ____ Flyer Other: List relevant education, training, experience, certificates of training, licenses, or professional registration: DocuSign Envelope ID: 4108BBE1-F3F7-4CBF-9C9A-DA1816FCD0DF [JQSVVMWSR$IEVXLPMRORIX HYRGERTPEGI &%)GSRSQMGW8VMRMX]'SPPIKI,EVXJSVH'87SQIQEWXIVW[SVO 7TIRX]IEVWSRXLI,IEHUYEVXIVW7XEJJSJ;IWXMRKLSYWI[MXLWTIGMJMG VIWTSRWMFMPMXMIWJSVXVEMRMRKERHHIZIPSTQIRXSJQEREKIVWMR 1ERYJEGXYVMRK 4YVGLEWMRK -[EWRIKSXMEXMSRGSRWYPXERXXIEGLMRKSZIVTISTPI,EZILEH RIKSXMEXMSRWFSSOWTYFPMWLIHERH[SVOMRKSRJSYVXL %JXIV-VIXMVIHJVSQ;IWXMRKLSYWIXEYKLXEX7ER.SWI7XEXIJSV]VW [MPPMEQQSVVMWSR Human Relations Commission Application 2 of 5 Employment Present or Las t Em ployer: Occupation: Describe your involvement in community activities, volunteer and civic organizations: 1. What is it about the Human Relations Commission that is compatible with your experience and of specific interest to you, and why? DocuSign Envelope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uman Relations Commission Application 3 of 5 2. Please describe an issue that recently came before the Commission that is of particular interest to you and describe why you are interested in it. If you have never been to a Commission meeting you can view an archived video from the Midpen Media Center: 3. If appointed, what specific goals would you like to see the Human Relations Commission achieve, and why? How would you suggest accomplishing this? DocuSign Envelope ID: 4108BBE1-F3F7-4CBF-9C9A-DA1816FCD0DF -RGVIEWI[SQIRWMQTPS]QIRXMR4EPS%PXSIWTIGMEPP]MRQEREKIQIRX (MZIVWMX][SQIRWMWWYIW JEMVIQTPS]QIRX Human Relations Commission Application 4 of 5 4. Human Relations Commission Members work with the documents listed below. If you have experience with any of these documents, please describe that experience. Experience with these documents is not required for selection. Human Services Needs Assessment Muni Code 9.72 Mandatory Response Program Community Services Element of the Comprehensive Plan DocuSign Envelope ID: 4108BBE1-F3F7-4CBF-9C9A-DA1816FCD0DF RSRI Human Relations Commission Application 5 of 5 Consent to Publish Personal Information on the City of Palo Alto Website California Government Code Section 6254.21 states, in part, official on the Internet without first obtaining the written permission of that ind This consent form will not be redacted and will be attached The full code can be read here: Read the code, and check only ONE option below: _ Commission Application intact. I have read and understand my rights under Government Code Section 6254.21. I may revoke this permission at any time by providing written notice to the Palo Alto City Clerk. OR I request that the City of Palo Alto redact my home address, phone numbers, and email address providing the following alternate information and request that they use the following contact information instead. Address: Cell Phone: ____ Home / ____ Office Phone: ___________________________________________________ Email: ____________________________________________ The phone number / address can be nonpublic and different than the address collected on page one. (Optional) Additional Attachment(s) If you would like to submit a resume, work sample, etc. along with your DocuSign Envelope ID: 4108BBE1-F3F7-4CBF-9C9A-DA1816FCD0DF ·. Ol\.pplication Deadline: April 23 at 4:300 Human Relations Commission Personal Information -Note: The HRC regularly meets the second Thursday of the month at 7:00 p.m. Name: Mfr f<.l\ LtJ f-I S S Address: I 6 q f3 fl./ f./11 / ~T f i1 l o 4 L 7D 1 C tf 9 Y S 0 I Cell Phone:(& r 0 ) 3 () 5"" -(J 1-() I Home I Office Phone: E-mail: ~ 4 tz.. Vi.J () f ~ @. (If. ft (Jo _ ( {)M Are you a Palo Alto Resident? ..lS.... Yes_ No Do you have any relatives or members of your household who are employed by the City of Palo ~o, who are currently serving on the City Council, or who are Commissioners or Board Members?_ Yes ~ No Are you available and committed to complete the term applied for? X Yes _No California state law requires appointed board and commission members to file a detailed disclosure of their financial interests, Fair Political Practices Commission, Conflict of Interest, Form 700. Do you or your spouse have an investment in, or do you or your spouse serve as an officer or director of, a company doing business in Palo Alto which you believe is likely to; 1) engage in business with the City, 2) provide products or services for City projects, or 3) be affected by decisions of the board or commission you are applying for?_ Yes i._ No Excluding your principal residence, do you or your spouse own real property in Palo Alto?_ Yes >{ No How did you learn about the vacancy on the Human Relations Commission? _Community Group ~Email from City Clerk _Palo Alto Weekly _Daily Post _City Website i.-Flyer List relevant education, training, experience, certificates of training, licenses, or professional registration: jf( Page 1 Human Relations Commission 0 Employment Present or Last Employer: Occupation: 1 Describe your involvement in community activities, volunteer and civic organizations: 1. What is it about the Human Relations Commission that is compatible with your experience and of specific interest to you, and why? l ( Page2 Human Relations Commission .· ·. n 2. Please describe an Issue that recently came before the Commission that is of particular interest to you and describe why you are interested in it. If you have never been to a Commission meeting you can view an archived video from the Midpen Media Center: LINK. I ( 3. If appointed, what specific goals would you like to see the Human Relations Commission achieve, and why? How would you suggest accomplishing this? I( Page 3 Human Relations Commission 0 0 4. Human Relations Commission Members work with the documents listed below. If you have experience with any of these documents, please describe that experience. Experience with these documents is not required for selection. Human Services Needs Assessment LINK Muni Code 9.72-Mandatory Response Program LINK Community Services Element of the Comprehensive Plan LINK -f h ( Consent to Publish Personal Information on the City of Palo Alto Website California Government Code Section 6254.21 states, in part, "No state or local agency shall post the home address or telephone number of any elected or appointed official on the Internet without first obtaining the written permission of that individual." The full code is attached. This consent form will not be redacted and will be attached to the Application and posted to the City's website. The full code can be read here: LINK Read the code, and check only ONE option below: L I give permission for the City of Palo Alto to post to the City's website the attached Board and Commission Application intact. I have read and understand my rights under Government Code Section 6254.21. I may revoke this permission at any time by providing written notice to the Palo Alto City Clerk. OR I request that the City of Palo Alto redact my home address, phone numbers, and email address from the attached Board and Commission Application prior to posting to the City's website. I am providing the following alternate information and request that they use the following contact information instead. Address: Cell Phone: Home I Office Phone: E-mail: .... .· Signature: !hia/( IJ ~ Date:~ 2 ~-2 d It Page4 Human Relations Commission ·- Yesterday marked the 25th anniversary of my business and work initiative, Earthwise Productions of Palo Alto, which evolved from my participation in Palo Alto's Earth Day organizing, in April, 1993. I have produced more than 200 community events, mostly rock music and jazz concerts, the bulk of which utilized the former high school auditorium, at Cubberley Community Center, a few years back. Beyond the business model, I felt intrinsic to the effort was a cultivation of human relations, the gathering of people, the opening of ears, and minds, and maybe hearts. Some events served overtly to benefit environmental or social action NGOs. Recently my work also involved writing about music and art, and public policy and social issues, on a blog; roughly 500,000 words.* Also, I have run for public office here and applied previously for commissions and boards: Democracy demands active participation, George Packer's "winding"; speak out; join, add your voice to the dialogue and discussion. I hope to carry on -or in the Faulknerian sense endure, prevail -another 25 years, Lord willing and the creek don't rise, in some combination of civic engagement and or private commercial practice. If tapped, I'd gladly, lovingly shoulder 14 percent of this commission's mandate and output, even at the displacement, deferral or sacrifice of my private stuff, my agenda. *here, another 217 Human Relations Commission Application 4 of 5 4. Human Relations Commission Members work with the documents listed below. If you have experience with any of these documents, please describe that experience. Experience with these documents is not required for selection. Human Services Needs Assessment Muni Code 9.72 Mandatory Response Program Community Services Element of the Comprehensive Plan DocuSign Envelope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uman Relations Commission Application 3 of 5 2. Please describe an issue that recently came before the Commission that is of particular interest to you and describe why you are interested in it. If you have never been to a Commission meeting you can view an archived video from the Midpen Media Center: 3. If appointed, what specific goals would you like to see the Human Relations Commission achieve, and why? How would you suggest accomplishing this? DocuSign Envelope ID: C4619C96-457B-4723-B7BF-F4E706BFF269 4PIEWI WII EXXEGLQIRX 4PIEWI WII EXXEGLQIRX Human Relations Commission Application 4 of 5 4. Human Relations Commission Members work with the documents listed below. If you have experience with any of these documents, please describe that experience. Experience with these documents is not required for selection. Human Services Needs Assessment Muni Code 9.72 Mandatory Response Program Community Services Element of the Comprehensive Plan DocuSign Envelope ID: C4619C96-457B-4723-B7BF-F4E706BFF269 2S TVIZMSYW I\TIVMIRGI List relevant education, training, experience, certificates of training, licenses, or professional registration: I have a wide range of experience and training that I feel would make me very useful in the role. Here is a brief synopsis of pertinent leadership experiences: 1. I have been able to successfully lead the University A.M.E. Zion through a significant transformation and growth. When I arrived five years ago, our congregation was down to 19 active members, who were black and seniors. Today we have grown to 120 active members, and we are now a multicultural church with an average age of 32. 2. I have completed the required course of study and educational training necessary for the ordination in the African Methodist Episcopal Zion Church. The ordination criteria are eight years of denominational study and formal schooling. This training included focus on community building, interpersonal conflict resolution and more. 3. I work on the national level to address systemic societal issues. I am currently part of the leadership cadre for the March Against Racism in Washington DC on April 4th in Washington DC to commemorate the 50th anniversary of the assassination of Martin Luther King. This march is sponsored by the National Council of Churches which represents 38 denominations, 100,000 congregations, and 45 million people. 4. I have been selected to be part of the Next Generation Leadership Cohort of World Methodist Evangelism which is part of World Methodist Council which represent 82 million people from 133 countries. 5. I am part of the Emerging Social Leader Cohort of the Peninsula Solidarity Network. I am the only clergy selected to the cohort from Santa Clara County. 6. I served as the Vice Chairperson for Ecumenical Hunger Program in East Palo Alto. Describe your involvement in community activities, volunteer and civic organizations: I am currently the Senior Pastor of the University A.M.E. Zion Church which is the oldest black church in the city of Palo Alto; this role has allowed me to connect with a wide range of community leaders and to be on the forefront of community dialogue around many issues. In the past three years I have led or participated in several initiatives to help foster a healthy conversation in our community: Community Open Forums on Race in America: After the tragic shootings at Mother Emmanuel A.M.E. Church in Charleston SC, there was a significant community outpouring of concern about race and where do we move from here. We held several community forums, which each had over 150 people in attendance. These forums allowed us to start the discussion around race and equality in our community and our country as a whole. Out of these community forums, we executed three significant initiatives; the first was the Community Unity Fair at Cubberley Community Center. We partnered with the city of Palo Alto and several local religious and civic organizations to hold a community fair that had children of different racial, ethnic, and religious backgrounds coming together to have fun. The goal was to create a space that would allow DocuSign Envelope ID: C4619C96-457B-4723-B7BF-F4E706BFF269 children meet others from different backgrounds and let them see that we are all the same. The second was viewing and discussing the movie Church. This movie dealt with white privilege and its impact on racism and implicit bias and how it impacts Palo Alto. The discussion was lively and cathartic. The third activity was a community book club that read the book "The New Jim Crow." It was a thoughtprovoking and compelling dialogue dealing with mass incarceration and how it impacts our communities. I have also partnered with the Human Relations Committee in the planning of two initiatives in 2016 and 2017 named "Being Different Together." The original 2016 was a panel discussion and forum held at the Mitchell Park Library. I was part of the planning team along with being the moderator for that event. This event was a great success and well attended; it sparked us to ask the question, How could we continue the positive momentum and equip community leaders with tools to address implicit bias In 2017 we planned a 4 part Being Different Together." We worked with Dr. Joseph Brown from Stanford University to bring the implicit bias training that Stanford developed to the Palo Alto community. We were intentional inviting and encouraged persons from varied perspectives to be part of this community dialogue. It was terrific to have so many different views in the room. It made the discussion more meaningful and authentic. This initiative was a great success because of the positive community response. It also allowed people to be reflective of their implicit bias and it equipped them with tools to take back to their various constituency. I have also been active in promoting and developing ecumenical and interfaith connections in Palo Alto. Under my leadership, the University A.M.E. Zion Church has led our community in several activities to encourage religious tolerance. One of our events was sponsoring the 2016 Multifaith Peace Walk and Picnic to remember 9/11. The Multifaith Peace Walk started at Congregation Etz Chayim/Spark Church, then it went to University Church, followed by walking to Our Lady of the Rosary Catholic Church and concluded with American Muslim Voice hosted Peace Picnic at Mitchell Park. Each of the stops put together a brief presentation on how we can achieve peace in our society. The march was a fantastic show of solidarity in our community with over 700 participants, and over 35 community faith and civic organization represented including the Chief of Police from the city of Palo Alto. Finally, I am part of the of the Social Justice for Emerging Leader cohort for the Peninsula Solidarity Network. The Silicon Valley Foundation sponsors the Social Justice for Emerging Leader cohort. This program gathers community leaders from many faith traditions to research, discuss and dialogue with subject matter experts on issues that specifically affect our area. We have spent significant time examining issues such immigration, hypercapitalism, and housing issues. 1. What is it about the Human Relations Commission that is compatible with your experience and of specific interest to you, and why? DocuSign Envelope ID: C4619C96-457B-4723-B7BF-F4E706BFF269 Building healthy and sustainable communities is one of my passions. Whether it is in my role as Senior Pastor at University or in the Palo Alto community, I desire to build bridges and give voice to all stakeholders, equitably and efficiently. I believe this lines up with the stated purpose of the Human Relations Commission of fostering public awareness and understanding of human relations by any means. I believe the first step in any movement forward or reconciliation is an open dialogue, and it hopefully will foster compassion and communication for all parties involved. We live in very complicated times, and I believe for Palo Alto to continue to be a healthy and dynamic city, the work of the Human Relations Commission is vital. People in the community need to know there is a place where they can speak on complicated and nuanced issues we face today. 2. Please describe an issue that recently came before the Commission that is of particular interest to you and describe why you are interested in it. If you have never been to a Commission meeting you can view an archive: The March 8th meeting of the Human Relations Commission dealt with the issue of Palo Alto Police Field Based Video Policy. I believe this is one of the most critical issues in modern policing. The use of these technologies adds a layer of accountability and protection to the police officers. It's important that our city has a comprehensive policy in place to protect its citizens and employees. In today's modern political climate policing incidents can be significant flashpoints and having video evidence can hopefully allow for more clarity in the investigation of these incidents. 3. If appointed, what specific goals would you like to see the Human Relations Commission achieve, and why? How would you suggest accomplishing this? Palo Alto is indeed a global city, attracting people from all over the world. Our diversity is one of our greatest strengths, but it is an underutilized resource. Many people in Palo Alto have limited community based around work, ethnic groups or children activities. We as a city need to find ways to encourage and build deeper relationships based on the fact that we are all Palo Alto residents. We need to find ways to help those who are new to the community to dive into the deep end and connect with others. We also need to find ways to encourage longtime residents to be more receptive and accepting of newcomers. If I have the honor of being on the Human Relations Commission, my goal would be to develop resolutions, events, programs, and initiatives to encourage broader community in the city we call home. DocuSign Envelope ID: C4619C96-457B-4723-B7BF-F4E706BFF269 DocuSign Envelope ID: 6375E5E6-0590-40AC-9CA 1-86897039DE59 Personal Information -Note: The HRC regularly meets the second Thursday of the month at 7:00 p.m. Name:Gabriel P Kralik Address: Cell Pho -"----------------------- _x_Home/ Office Ph E- Are you a Palo Alto Resident? _x _ Yes __ No Do you have any relatives or members of your household who are employed by the City of Palo Alto, who are currently serving on the City Council, or who are Commissioners or Board Members? Yes _x _No Are you available and committed to complete the term applied for? _X_ Yes __ No California state law and the City's Conflict of Interest Code LINK require appointed board and commission members to file a detailed disclosure of their financial interests, Fair Political Practices Commission, Conflict of Interest, Form 700. Do you or your spouse have an investment in, or do you or your spouse serve as an officer or director of, a company doing business in Palo Alto which you believe is likely to; 1) engage in business with the City, 2) provide products or services for City projects, or 3) be affected by decisions of the board or commission you are applying for? __ Yes _x_ No Excluding your principal residence, do you or your spouse own real property in Palo Alto?_ Yes~ No How did you learn about this vacancy? __ Community Group _x _ Email from City Clerk __ Palo Alto Weekly __ Daily Post __ City Website __ Flyer List relevant education, training, experience, certificates of training, licenses, or professional registration: Undergraduate Degree: B.S. Chemical Engineering, U. of Notre Dame, 1982;Law Degree: J.D ., U. of Notre Dame, 1989. Named to the Santa Clara County Human Relations Commission in 2017; Presently serving as Vice-Chair of the Commission. Gabri el P Kralik Human Relations Commission Application 1of5 DocuSign Envelope ID: 6375E5E6-0590-40AC-9CA 1-86897039DE59 Employment Present or Last Employer: Superior Ct. of Santa Clara County; Thuj a Global Occupation: Hearing Officer; Mediator Describe your involvement in community activities, volunteer and civic organizations: I am active in the community through my church, St. Albert the Great. I volunteer as an Long-Term Care Ombudsman with Ombudsman Services of San Mateo County. I am a graduate of the Palo Alto Leadership Program. I presently serve as a volunteer mediator with PAMP. 1. What is it about the Human Relations Commission that is compatible with your experience and of specific interest to you, and why? I am presently serving at the County level as a Human Relations Commissioner. My compatible experiences include my work as a mediator and hearing officer and my volunteer activities in the community. Gabri el P Krali k Human Relations Commission Application 2 of 5 Human Relations Commission Application 3 of 5 2. Please describe an issue that recently came before the Commission that is of particular interest to you and describe why you are interested in it. If you have never been to a Commission meeting you can view an archived video from the Midpen Media Center: 3. If appointed, what specific goals would you like to see the Human Relations Commission achieve, and why? How would you suggest accomplishing this? DocuSign Envelope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uman Relations Commission Application 4 of 5 4. Human Relations Commission Members work with the documents listed below. If you have experience with any of these documents, please describe that experience. Experience with these documents is not required for selection. Human Services Needs Assessment Muni Code 9.72 Mandatory Response Program Community Services Element of the Comprehensive Plan DocuSign Envelope ID: 6375E5E6-D59D-40AC-9CA1-86897D39DE59 ;LMPI - HS RSX LEZI WTIGMJMG I\TIVMIRGI [MXL XLIWI [SVOMRK HSGYQIRXW - LEZI LEH EGGIWW XS ERH WXYHMIH WMQMPEV VIWSYVGIW EX XLI 'SYRX] PIZIP EW TEVX SJ Q] ,6' [SVO DocuSign Envelope ID: 6375E5E6-0590-40AC-9CA 1-86897039DE59 Consent to Publish Personal Information on the City of Palo Alto Website California Government Code Section 6254.21 states, in part, "No state or local agency shall post the home address or telephone number of any elected or appointed official on the Internet without first obtaining the written permission of that individual." This consent form will not be redacted and will be attached to the Application and posted to the City's website. The full code can be read here: LINK Read the code, and check on ly ONE option below: I give permission for the City of Palo Alto to post to the City's website the attached Board and Commission Application intact. I have read and understand my rights under Government Code Section 6254.21. I may revoke this permission at any time by providing written notice to the Palo Alto City Clerk. OR X I request that the City of Palo Alto redact my home address, phone numbers, and email address from the attached Board and Commission Application prior to posting to the City's website. I am providing the following alternate information and request that they use the following contact information instead. Address: 555 Bryant St., #288 Cell Phone: 65084 78644 __ Home / _x_ Office Phone: _6_5_0_84_7_8_6_4_4 ___________________ _ E-mail: gabekralik@thuj aglobal. com The phone number I address can be non-public and different than the address collected on page one. Date: 3 /21/2018 (Optional) Additional Attachmentlsl If you would like to submit a resume, work sample, etc. along with your Application, Check this box and click "Attach" to upload your document(s). Gabriel P Kralik Human Relations Commission Application 5 of 5 Human Relations Commission Application 1 of 5 Personal Information Note: The HRC regularly meets the second Thursday of the month at 7:00 p.m. Name: Address: Cell Ph ____ Home / ____ Office Ph E- Are you a Palo Alto Resident? ____ Yes ____ No Do you have any relatives or members of your household who are employed by the City of Palo Alto, who are currently serving on the City Council, or who are Commissioners or Board Members? ____ Yes ____ No Are you available and committed to complete the term applied for? ____ Yes ____ No California state law and the Ci require appointed board and commission members to file a detailed disclosure of their financial interests, Fair Political Practices Commission, Conflict of Interest, Form 700. Do you or your spouse have an investment in, or do you or your spouse serve as an officer or director of, a company doing business in Palo Alto which you believe is likely to; 1) engage in business with the City, 2)provide products or services for City projects, or 3) be affected by decisions of the board or commission you are applying for? ____ Yes ____ No Excluding your principal residence, do you or your spouse own real property in Palo Alto? ___ Yes ___ No How did you learn about this vacancy? ____ Community Group ____ Email from City Clerk ____ Palo Alto Weekly ____ Daily Post ____City Website ____ Flyer Other: List relevant education, training, experience, certificates of training, licenses, or professional registration: DocuSign Envelope ID: FA29F0FA-5FFB-45B9-8319-4BB100074954 5MJIRK <YI 4L ( MR 'LIQMWXV] 7V (MVIGXSV SJ %REP]XMGEP 'LIQMWXV] 'IPP KVSYT PIEHIV XVEMRMRK [MXL 6MZIV SJ 0MJI 'LVMWXMER 'LYVGL Human Relations Commission Application 3 of 5 2. Please describe an issue that recently came before the Commission that is of particular interest to you and describe why you are interested in it. If you have never been to a Commission meeting you can view an archived video from the Midpen Media Center: 3. If appointed, what specific goals would you like to see the Human Relations Commission achieve, and why? How would you suggest accomplishing this? DocuSign Envelope ID: FA29F0FA-5FFB-45B9-8319-4BB100074954 -X MW LEVH XS PE] SYX WTIGMJMG KSEPW [MXLSYX JYPP] GSQTVILIRHMRK SYV VIWSYVGIW ERH VIWTSRWMFMPMX] WGSTIW ,S[IZIV - [SYPH PMOI XS WII QSVI TEVXMGMTEXMSR SJ SYV RI[ RIMKLFSVW MR GSQQYRMX] EGXMZMXMIW ERH WLEVMRK [MXL XLIQ XLI EZEMPEFPI VIWSYVGIW ERH FIRIJMXW XLVSYKL ZEVMSYW QIHME 3RI LYKI GSRGIVR - I\TIVMIRGIH MW LS[ XS [SVO [MXL SYV OMHW XLVSYKL LMKL WGLSSP ]IEVW 8S WXMQYPEXI SYV RIMKLFSVWW TEVXMGMTEXMSR E WIVMIW SJ WIQMREVW ERH SV HMWGYWWMSR JSVYQW XLVSYKL WSGMEP QIHME QE] FI WIX YT (ITIRHMRK SR SYV TSPMG] VIWSYVGIW SGGEWMSREP KEXLIVMRK JSV ZEVMSYW KVSYTW QE] FI LIPTJYP %RSXLIV EVIE - [SYPH PMOI XS WII GLERKIW MW LS[ [I WYTTSVX MRXIVEGX [MXL SYV WGLSSPW IWTIGMEPP] LMKL WGLSSPW MR LIPTMRK XLI WXYHIRXW ERH JEQMPMIW KSMRK XLVSYKL XLI GLEPPIRKMRK ]IEVW -W MX JIEWMFPI XS LEZI WYTTSVXMRK KVSYTW JSV XLI TEVIRXW XS YRHIVWXERH LS[ LMKL WGLSSP PMJI LEW GLERKIH# *SVQ TEVXRIVWLMT [MXL TEVIRXW ERH WGLSSPW XS WYTTSVX XLI WXYHIRXW YRHIV TVIWWYVI 8LMW [SYPH FI I\XVIQIP] LIPTJYP XS XLSWI RI[ MQQMKVERXW [MXL PMQMXIH GSRRIGXMSRW ERH GSQQYRMGEXMSR MWWYIW Human Relations Commission Application 4 of 5 4. Human Relations Commission Members work with the documents listed below. If you have experience with any of these documents, please describe that experience. Experience with these documents is not required for selection. Human Services Needs Assessment Muni Code 9.72 Mandatory Response Program Community Services Element of the Comprehensive Plan DocuSign Envelope ID: FA29F0FA-5FFB-45B9-8319-4BB100074954 2% Human Relations Commission Application 1 of 5 Personal Information Note: The HRC regularly meets the second Thursday of the month at 7:00 p.m. Name: Address: Cell Phone: ____ Home / ____ Office Phone: E-mail: Are you a Palo Alto Resident? ____ Yes ____ No Do you have any relatives or members of your household who are employed by the City of Palo Alto, who are currently serving on the City Council, or who are Commissioners or Board Members? ____ Yes ____ No Are you available and committed to complete the term applied for? ____ Yes ____ No California state law and the Ci require appointed board and commission members to file a detailed disclosure of their financial interests, Fair Political Practices Commission, Conflict of Interest, Form 700. Do you or your spouse have an investment in, or do you or your spouse serve as an officer or director of, a company doing business in Palo Alto which you believe is likely to; 1) engage in business with the City, 2) provide products or services for City projects, or 3) be affected by decisions of the board or commission you are applying for? ____ Yes ____ No Excluding your principal residence, do you or your spouse own real property in Palo Alto? ___ Yes ___ No How did you learn about this vacancy? ____ Community Group ____ Email from City Clerk ____ Palo Alto Weekly ____ Daily Post ____ City Website ____ Flyer Other: List relevant education, training, experience, certificates of training, licenses, or professional registration: DocuSign Envelope ID: 0ABD1DCF-E1F7-4CEE-BC12-542E3C4B30D1                                                  Human Relations Commission Application 2 of 5 Employment Present or Last Employer: Occupation: Describe your involvement in community activities, volunteer and civic organizations: 1. What is it about the Human Relations Commission that is compatible with your experience and of specific interest to you, and why? DocuSign Envelope ID: 0ABD1DCF-E1F7-4CEE-BC12-542E3C4B30D1                                                                                                                                          Human Relations Commission Application 3 of 5 2. Please describe an issue that recently came before the Commission that is of particularinterest to you and describe why you are interested in it. If you have never been to a Commission meeting you can view an archived video from the Midpen Media Center: 3. If appointed, what specific goals would you like to see the Human Relations Commission achieve, and why? How would you suggest accomplishing this? DocuSign Envelope ID: 0ABD1DCF-E1F7-4CEE-BC12-542E3C4B30D1                                                                                                                                                                                                Human Relations Commission Application 4 of 5 4. Human Relations Commission Members work with the documents listed below. If you have experience with any of these documents, please describe that experience. Experience with these documents is not required for selection. Human Services Needs Assessment Muni Code 9.72 Mandatory Response Program Community Services Element of the Comprehensive Plan DocuSign Envelope ID: 0ABD1DCF-E1F7-4CEE-BC12-542E3C4B30D1                       Human Relations Commission Application 5 of 5 Consent to Publish Personal Information on the City of Palo Alto Website California Government Code Section 6254.21 states, in part, This consent form will not be redacted and will be attached The full code can be read here: Read the code, and check only ONE option below: _ Commission Application intact. I have read and understand my rights under Government Code Section 6254.21. I may revoke this permission at any time by providing written notice to the Palo Alto City Clerk. OR I request that the City of Palo Alto redact my home address, phone numbers, and email address providing the following alternate information and request that they use the following contact information instead. Address: Cell Phone: ____ Home / ____ Office Phone: ___________________________________________________ E-mail: ____________________________________________ The phone number / address can be non-public and different than the address collected on page one. Signature: Date: (Optional) Additional Attachment(s) If you would like to submit a resume, work sample, etc. along with your document(s). DocuSign Envelope ID: 0ABD1DCF-E1F7-4CEE-BC12-542E3C4B30D1  Human Relations Commission Application 1 of 5 Personal Information Note: The HRC regularly meets the second Thursday of the month at 7:00 p.m. Name: Address: Cell Phone: ____ Home / ____ Office Phone: E-mail: Are you a Palo Alto Resident? ____ Yes ____ No Do you have any relatives or members of your household who are employed by the City of Palo Alto, who are currently serving on the City Council, or who are Commissioners or Board Members? ____ Yes ____ No Are you available and committed to complete the term applied for? ____ Yes ____ No California state law and the Ci require appointed board and commission members to file a detailed disclosure of their financial interests, Fair Political Practices Commission, Conflict of Interest, Form 700. Do you or your spouse have an investment in, or do you or your spouse serve as an officer or director of, a company doing business in Palo Alto which you believe is likely to; 1) engage in business with the City, 2)provide products or services for City projects, or 3) be affected by decisions of the board or commission you are applying for? ____ Yes ____ No Excluding your principal residence, do you or your spouse own real property in Palo Alto? ___ Yes ___ No How did you learn about this vacancy? ____ Community Group ____ Email from City Clerk ____ Palo Alto Weekly ____ Daily Post ____City Website ____ Flyer Other: List relevant education, training, experience, certificates of training, licenses, or professional registration: DocuSign Envelope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uman Relations Commission Application 2 of 5 Employment Present or Las t Em ployer: Occupation: Describe your involvement in community activities, volunteer and civic organizations: 1. What is it about the Human Relations Commission that is compatible with your experience and of specific interest to you, and why? DocuSign Envelope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uman Relations Commission Application 3 of 5 2. Please describe an issue that recently came before the Commission that is of particular interest to you and describe why you are interested in it. If you have never been to a Commission meeting you can view an archived video from the Midpen Media Center: 3. If appointed, what specific goals would you like to see the Human Relations Commission achieve, and why? How would you suggest accomplishing this? DocuSign Envelope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uman Relations Commission Application 4 of 5 4. Human Relations Commission Members work with the documents listed below. If you have experience with any of these documents, please describe that experience. Experience with these documents is not required for selection. Human Services Needs Assessment Muni Code 9.72 Mandatory Response Program Community Services Element of the Comprehensive Plan DocuSign Envelope ID: C0473513-1850-4CC5-ADE1-C08147259A22 -VIEHXLVSYKLXLIWIHSGYQIRXWXLIPEWXXMQI-ETTPMIHJSVXLMW 'SQQMWWMSRERH[SYPHFILETT]XSVIEHXLVSYKLXLIQEKEMR+MZIRQ] ]IEVWSJI\TIVMIRGIEWEREXXSVRI]-EQZIV]WOMPPIHEXVIEHMRK EREP]^MRKMRXIVTVIXMRKERHETTP]MRKXLIWIX]TIWSJVITSVXWTPERWERH HSGYQIRXW Human Relations Commission Application 5 of 5 Consent to Publish Personal Information on the City of Palo Alto Website California Government Code Section 6254.21 states, in part, official on the Internet without first obtaining the written permission of that ind This consent form will not be redacted and will be attached The full code can be read here: Read the code, and check only ONE option below: _ Commission Application intact. I have read and understand my rights under Government Code Section 6254.21. I may revoke this permission at any time by providing written notice to the Palo Alto City Clerk. OR I request that the City of Palo Alto redact my home address, phone numbers, and email address providing the following alternate information and request that they use the following contact information instead. Address: Cell Phone: ____ Home / ____ Office Phone: ___________________________________________________ Email: ____________________________________________ The phone number / address can be nonpublic and different than the address collected on page one. (Optional) Additional Attachment(s) If you would like to submit a resume, work sample, etc. along with your DocuSign Envelope ID: C0473513-1850-4CC5-ADE1-C08147259A22 Rebecca L. Eisenberg, Esq. 2345 Waverley St. Palo Alto, CA 94301 (415) 2358078 rebecca@privateclientlegal.com OVERVIEW: Trusted legal advisor and counsel for organizations & individuals. Detailoriented, empathetic, efficient, team player. EDUCATION: Harvard Law School, J.D., June 1993 Editor, Harvard Law Review. Harvard Law Record, journalist and columnist. contributor and editor. ABA, President of Harvard Law Chapter. Graduated Cum Laude. Stanford University, B.A. Psychology/Decision Sciences, June 1990 Phi Beta Kappa elected junior year. Departmental distinction. Boothe Prize for Excellence in Writing. Cap & Gown Honor Society; Phi Psi Honor Society. President, Stanford Undergraduate Psychology Association (SUPA). Peer Tutor, Calculus, Stanford Center for Teaching & Learning. Orientation Coordinator, Program Advisor, Stanford Office of Residential Education. Peer Counselor, the Stanford Bridge (suicide and counseling hotline). Teaching Assistant, Prof. Philip Zimbardo, sophomore, junior and senior years. BAR: Active member (167748) of the California Bar and the Federal Bar, Central District of California, admitted Dec. 1993. PROFESSIONAL EXPERIENCE: Private Client Legal Advisors, San Francisco, CA Principal & Founder, 1/2013 Present Operate boutique legal services firm, providing following services: Serve as outside GC for nonprofit organizations, technology companies, angel funds, entrepreneurs and executives. Locate, hire and manage specialized outside counsel; serve as intermediary between client and firms. Assist a variety of clients with matters involving regulatory compliance, employment matters, compensation, Fair Pay Act compliance, HR policies, financings and corporate transactions, as well as commercial agreements, licensing, employment disputes, litigation management, dispute resolution, public relations, and other business and legal affairs on behalf of founders, executives, nonprofits, companies and startups. Advise parents and various school representatives regarding legal rights and compliance under Title IX, FERPA, the CPRA, ADA, IDEA, California Ed Code and other local, state and federal laws and regulations. Serve as Palo Alto Education Law Expert to KTVU News San Jose. Analyze, negotiate and advise firms, companies and individuals on their financerelated documents warrants, convertible notes, stock purchase agreements, articles of incorporation and related corporate documents; provide actionable advice for stakeholders regarding different options and potential outcomes based on quantitative analysis of liquidity flowing through cap tables, interest accruing over time, types of collateral, and otherwise. Handle governance issues on behalf of a variety of organizations, including Board Meetings, public filings, and regulatory and legal compliance; ensure compliance with privacy laws and disclosure mandates. Provide legal consulting on Human Resources issues, including compensation, compliance and risk reduction. Vouch Financial Inc., San Francisco, CA General Counsel, Head of Human Resources & Corporate Secretary 5/14 to 3/15 first GC & Head of HR (4th employee), handled all legal & HR matters, including: Built and established legal department and legal function, including budget and hiring plan. Served as Board Secretary, drafted board resolutions, shareholder consents and board meeting minutes. Ensured compliance with all governance regulatory compliance including privacy and disclosure requirements. Secured new company office space, negotiated real estate transactions, handled office improvements and renovations in costeffective and efficient, yet highly successful manner. DocuSign Envelope ID: C0473513-1850-4CC5-ADE1-C08147259A22 Handled 2 rounds of venture capital financing, as well as venture debt line; advised on all financial transactions. Established compliant HR system & structure, with a focus on risk reduction, recruiting & retention; established all legal and HR form agreements, company manuals and policies; trained employees on compliance. Created compensation programs with focus on compliance, recruiting and retention. Ensured regulatory and legal compliance with lending regulations (state and federal). Drafted company outward and inwardfacing policies, including privacy policies, user agreements, loan agreements, guarantor agreements, terms of use, license agreements, electronic communications agreements, credit consents and other legal agreements for website users, borrowers and guarantors. Negotiated all contracts with strategic business partners, investors, lenders, customers, and vendors. reddit Inc., San Francisco, CA General Counsel, Head of Finance and Head of Human Resources, 1/12 to 1/13 andled all legal, finance and HR matters for reddit, including: Negotiated and executed successful spinoff of reddit Inc. from Advance/Conde Nast. Served as Board Secretary; drafted & distributed resolutions, consents and board minutes. Legal, Human Resources and Finance departments. ensured regulatory and legal compliance, trained employees, drafted all employee agreements and policies. Handled, managed and trained staff members to respond to all Subpoenas, DMCA requests, infringement letters and other inbound legal communications. Established compensation systems and ensured compliance and consistency. Create . handled investment round and all corporate legal matters. Negotiated all commercial agreements; drafted all standard contracts; handled all other legal matters. Trulia, Inc., San Francisco, CA General Counsel, 3/10 to 12/11 andled all legal issues for this fastpaced Internet startup in the real estate industry, including: Handled M & A transactions, including acquisition of startup Movity. Handled financial transactions, including closing highfigure loan financing. Handled, drafted, negotiated all other corporate and commercial transactions, including business development, sales, licensing, comarketing and other commercial contracts, as well as real estate leases and transactions. Handled human resources issues, including handbooks, terminations, separation agreements and stock issues. Managed IP portfolio, including patents and trademarks. Managed litigation, including several patent infringement lawsuits; obtained very favorable settlement. Handled legal issues in product development, including terms of use, privacy policies and issuing associated with User Generated Content. Served on Senior Management Team, contribute to corporate strategy. Pure Digital Technologies, Inc., San Francisco, CA General Counsel, 9/089/09 Handled all legal issues for this consumer electronics technology company that provides the popular line of Flip Video handheld digital video camcorders. Handled successful Exit: Merger of Pure Digital with Cisco Systems, Inc in $615 million transaction. Led $630 Million merger with Cisco, in addition to all other corporate transactions. Successfully settled multimillion dollar (claimed) patent suit, managed all other litigation and threatened litigation. Handled all commercial transactions, licensing, sales and business development deal support (technology, software, content, comarketing), including with Facebook, Product (RED), YouTube, MySpace, AOL and other industry leaders. Led HR legal organization, provided advice, contracts, separations, consulting, conflict management. Handled intellectual property portfolio: patents, trademarks, copyrights. Leader on executive management team, provided strategic decision making, interfaced with Board of Directors. Managed and hired resources, handled legal budget of approximately $4 million. AdBrite, Inc., San Francisco, CA Vice President, General Counsel & Secretary of the Board, 3/079/08 andled all legal matters for this Internet startup in the online advertising space. Handled corporate governance/securities: minutes, resolutions Negotiated/drafted all commercial transactions: licensing, sales, real estate Handled Intellectual Property: Managed IP portfolio, all patents, copyrights, trademarks, DMCA. Successfully avoided litigation/managed risk: disposed of issues before they lead to lawsuits; create policies. DocuSign Envelope ID: C0473513-1850-4CC5-ADE1-C08147259A22 Provided executive management, leadership. PayPal, Inc., an eBay Company, San Jose, CA Senior Counsel, Senior Director, Assistant Secretary 7/013/07 Joined company as second attorney, and assisted with IPO, Secondary Offering and Public Company Merger. Corporate development: assisted with IPO, secondary offering and public company merger with eBay Inc. Commercial Transactions: Handled all commercial transactions for the company. Sales: Supported sales team for $1.5 billion revenue company; create standardized documents and train salesforce. Intellectual property: Advised executives on intellectual property matters & compliance, handle IP licenses and strategy. International: supported business clients in Asia, Europe and Canada. Product Development: Analyzed all product specifications; drafted licenses and terms. User Agreement and Privacy Policy: drafting and maintenance, enforcement. Marketing and Content: Reviewed all marketing and other content; advised company on issues and risks. Management: Build and managed commercial legal team comprised of ten attorneys and staff. Risk management, litigation management, departmental processes. Ecast, Inc. (Internetbased music and games company), San Francisco, CA Vice President of Legal and New Market Development,9/996/01 Helped raise more than $18 M for the company, worked with investors. Managed strategic and business development as well as most legal and corporate development. Successfully closed deals including: digital music licensing with all 5 major labels, film/gaming licenses, wireless distribution deals , $7 million dollar software license/equity investment agreement with UK company. As the first licensed attorney to join the executive team of this fastpaced startup, also served as lead on risk management, compliance and marketing review, as well as delivered competitive analysis and business strategy. Cole Valley Group Consulting, San Francisco, CA Consultant: Internet business strategy, M&A advising & marketing, 10/9510/99 Provided strategic, technical marketing and business development services for numerous clients including Pixar, Quokka, Yoga Journal, Adjacency, Inc. (now Sapient), StarMine, Cyborganic Media, MediaCast, Sound Exchange Records, Electric Minds, Verbum and ChemisTree, among other startups and new media companies. Wrote over 10 business plans for startups, which as a group raised over $30M in venture financing; consulted start ups and established companies on mergers & acquisitions and other exit strategies; advised on intellectual property strategies. Consulted on intellectual property and strategic legal matters, including contributing to Rembrandts in the Closet, book on IP business strategies written by SmartPatents CEO (now Aurigin). CBS MarketWatch, San Francisco, CA 4/01 financial news site; contributed over 100 columns. Columns covered both technology strategic issues as well as high tech legal issues, including a high profile series on media. Awarded WELL journalism award for column which revealed privacy strategy behind WebMD/Healtheon merger. The San Francisco Examiner Internet business columnist, 6/9710/99 Wrote Net Skink, a biweekly column on Internet issues featured in the Sunday Cyborganic Media Director, Product Management and Corporate Development, 11/9510/97 Very early member of startup team on this tooearly MYSPACElike company (community and content aggregator) Produced and managed Hired, trained, managed and edited group of 12 individuals creating, updating and managing Web site GeekCereal.com. Contributed to Cyborganic business plan, helped raise angel funding. U.S. Court of Appeals, 5th Circuit, Houston, TX DocuSign Envelope ID: C0473513-1850-4CC5-ADE1-C08147259A22 Judicial Law Clerk, Chief Judge Carolyn Dineen King, 8/9511/95. U.S. District Court, District of Columbia, Washington, DC Judicial Law Clerk, Honorable Gladys Kessler, 8/947/95. U.S. District Court, Central District of California, Los Angeles, CA Judicial Law Clerk, Honorable A. Andrew Hauk, 8/938/94. Morrison & Foerster, San Francisco, CA Summer Associate, business law and litigation, 1992. Ross & Hardies, Chicago, IL Summer Associate, business law and litigation, 1991. BOARD MEMBERSHIPS: Board of Directors, Legal Momentum (formerly known as the National Organization for Women Legal Defense Fund national board), 20092012. Board of Directors, Craigslist Foundation, Treasurer, Founding member, 19992007. Board of Advisors, Kiva.org (Microfinance Nonprofit), 20062009. Board of Advisors, The Webby Awards, and Member, International Academy of Arts and Sciences, 2003present. PUBLICATIONS: Academic Writing: Rebecca Eisenberg, Beyond Bray: Obtaining Federal Jurisdiction to Stop AntiAbortion Violence, 6 Yale Journal of Law and Feminism 155 (1994). Note, Pornography, Equality, and a DiscriminationFree Workplace: A Comparative Perspective, 106 Harvard Law Review 1075 (1993). Book Note, An Unladylike Response to Legal Conceptions of Women (reviewing Faludi, Backlash), 105 Harvard Law Review 2104 (1992). Popular Media Writing: Weekly column, Net Skink, San Francisco Chronicle Weekly column, Nouveau Geek, CBS Market Watch Regular contributor, Wired, Red Herring, Upside, Fast Company, Time Daily, Entertainment Weekly, Ms. Magazine. List of published clips available by request and online: http://www.omino.com/~dom/clips/ EDUCATION / VOLUNTEER ROLES: Special Gifts / Fundraising / Development Committee, Stanford Homecoming Reunion 1995, 2000, 2005, 2010, 2015. Harvard Law School Celebration 55 Committee; Harvard Law School Celebration 60 Committee. Reunion and Fundraising Coordinator, Whitefish Bay High School, Whitefish Bay, WI. Development Committee, Brandeis Hillel Day School, San Francisco, CA Room Parent, Brandeis Hillel Day School, San Francisco, CA Parent Volunteer, Walter Hays Elementary School, Palo Alto, CA Parent Volunteer, Jordan Middle School, Palo Alto, CA AWARDS & SPEAKING ROLES: Education law expert, KTVU News, San Jose. Award Winner, Top 25 Women on the Web. Award Winner, WELL Writing Award, Journalism and Overall Grand Prize. Technology industry Hardball with Chris Matthews, and PBS Computer Chronicles and Internet Café. Expert on consumer protection online; featured in book, Web Rules: How the Internet is Changing the Way Consumers Make Choices by Tom Murphy. Planning Committee and Panel Moderator hip Summit at Harvard Law School. DocuSign Envelope ID: C0473513-1850-4CC5-ADE1-C08147259A22 Historic Resources Board Application 1 of 5 Personal Information Note: The HRB regularly meets the second and fourth Thursdays of the month at 8:30 a.m. Name: Address: Cell Phone: ____ Home / ____ Office Phone: E-mail: Are you a Palo Alto Resident? ____ Yes ____ No Do you have any relatives or members of your household who are employed by the City of Palo Alto, who are currently serving on the City Council, or who are Commissioners or Board Members? ____ Yes ____ No Are you available and committed to complete the term applied for? ____ Yes ____ No California state law and the Ci Conflict of Interest Code require appointed board and commission members to file a detailed disclosure of their financial interests, Fair Political Practices Commission, Conflict of Interest, Form 700. Do you or your spouse have an investment in, or do you or your spouse serve as an officer or director of, a company doing business in Palo Alto which you believe is likely to; 1) engage in business with the City, 2)provide products or services for City projects, or 3) be affected by decisions of the board or commission you are applying for? ____ Yes ____ No Excluding your principal residence, do you own or your spouse real property in Palo Alto?___Yes ____ No How did you learn about this vacancy? ____ Community Group ____ Email from City Clerk ____ Palo Alto Weekly ____ Daily Post ____City Website ____ Flyer Other: List relevant education, training, experience, certificates of training, licenses, or professional registration: DocuSign Envelope ID: 12934AA9-2DA8-460A-A90A-FF3CDBF4D8A3 ,EPI7XVIIX4EPS%PXS'% 0IEHIVWLMT4EPS%PXS'LEQFIVSJ'SQQIVGI (IFSVEL*7LITLIVH HIFFMIJWLITLIVH$KQEMPGSQ &%%VX,MWXSV]7XERJSVH9RMZIVWMX]GSYVWI[SVO[MXL4VSJ4EYP 8YVRIVMR%QIVMGEREVGLMXIGXYVI 1%%VX,MWXSV]9RMZIVWMX]SJ1MGLMKERGSRGIRXVEXMSR%QIVMGER %VX 'IVXMJMGEXIMR1YWIYQ4VEGXMGI9RMZIVWMX]SJ1MGLMKER %YHMXIH XLG%QIVMGER%VGLMXIGXYVI'SPYQFME9RMZIVWMX]4VSJ(ERMIP &PYIWXSRI ,MWXSVMG4VIWIVZEXMSR&SWXSR9RMZIVWMX]4VSJ6MGLEVH'ERHII Historic Resources Board Application 2 of 5 Employment Present or Las t Em ployer: Occupation: Describe your involvement in community activities, volunteer and civic organizations: 1. What is it about the Historic Resources Board that is compatible with your experience and of specific interest to you, and why? DocuSign Envelope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istoric Resources Board Application 3 of 5 2. Please describe an issue that recently came before the Board that is of particular interest to you and describe why you are interested in it. If you have never been to a Board meeting you can view an archived video from the Midpen Media Center: 3. If appointed, what specific goals would you like to see the Historic Resources Board achieve, and why? How would you suggest accomplishing this? DocuSign Envelope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istoric Resources Board Application 4 of 5 4. Please identify a project or projects that you find to be examples of good historic architecture, and explain why. You may attach samples, identify project addresses, or provide links. If you attach samples, Staff may request that you bring hard copy print outs to the interviews. 5. Historic Resources Board Members work with the documents listed below. If you have experience with any of these documents, please describe that experience. Experience with these documents is not required for selection. Palo Alto Comprehensive Plan Land Use Element Palo Alto Municipal Code Chapter 16.49 Secretary of the Interiors Standards for: Preserving, Rehabilitating, Restoring, and Reconstructing Historic Buildings California Environmental Quality Act DocuSign Envelope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istoric Resources Board Application 5 of 5 Consent to Publish Personal Information on the City of Palo Alto Website California Government Code Section 6254.21 states, in part, This consent form will not be redacted and will be attached The full code can be read here: Read the code, and check only ONE option below: _ Commission Application intact. I have read and understand my rights under Government Code Section 6254.21. I may revoke this permission at any time by providing written notice to the Palo Alto City Clerk. OR I request that the City of Palo Alto redact my home address, phone numbers, and email address providing the following alternate information and request that they use the following contact information instead. Address: Cell Phone: ____ Home / ____ Office Phone: ___________________________________________________ Email: ____________________________________________ The phone number / address can be nonpublic and different than the address collected on page one. (Optional) Additional Attachment(s) If you would like to submit a resume, work sample, etc. along with your DocuSign Envelope ID: 12934AA9-2DA8-460A-A90A-FF3CDBF4D8A3 Historic Resources Board Application 1 of 5 Personal Information Note: The HRB regularly meets the second and fourth Thursdays of the month at 8:30 a.m. Name: Address: Cell Ph ____ Home / ____ Office Ph E- Are you a Palo Alto Resident? ____ Yes ____ No Do you have any relatives or members of your household who are employed by the City of Palo Alto, who are currently serving on the City Council, or who are Commissioners or Board Members? ____ Yes ____ No Are you available and committed to complete the term applied for? ____ Yes ____ No California state law and the Ci Conflict of Interest Code require appointed board and commission members to file a detailed disclosure of their financial interests, Fair Political Practices Commission, Conflict of Interest, Form 700. Do you or your spouse have an investment in, or do you or your spouse serve as an officer or director of, a company doing business in Palo Alto which you believe is likely to; 1) engage in business with the City, 2)provide products or services for City projects, or 3) be affected by decisions of the board or commission you are applying for? ____ Yes ____ No Excluding your principal residence, do you own or your spouse real property in Palo Alto?___Yes ____ No How did you learn about this vacancy? ____ Community Group ____ Email from City Clerk ____ Palo Alto Weekly ____ Daily Post ____City Website ____ Flyer Other: List relevant education, training, experience, certificates of training, licenses, or professional registration: DocuSign Envelope ID: CEF2E1E7-6D6D-4557-BF55-80980300AC93 +SKS ,IMRVMGL JVMIRH )HYGEXMSR 9' &IVOIPI] &7 %VGLMXIGXYVI 0MGIRWIW 'EPMJSVRME %VGLMXIGX 0MGIRWI ' 0))( 4VSJIWWMSREP )\TIVMIRGI %VGLMXIGX ERH 4VSNIGX 1EREKIV JSV TVMZEXI ERH TYFPMG EKIRGMIW JSV SZIV ]IEVW .978 6)8-6)( 2SZIQFIV :SPYRXIIV QIQFIV SJ XLI 4VSJIWWSVZMPPI ,MWXSVMG 4VIWIVZEXMSR 'SQQMXXII Historic Resources Board Application 2 of 5 Employment Present or Last Employer: Occupation: Describe your involvement in community activities, volunteer and civic organizations: 1. What is it about the Historic Resources Board that is compatible with your experience and of specific interest to you, and why? DocuSign Envelope ID: CEF2E1E7-6D6D-4557-BF55-80980300AC93 'MX] SJ 7ER 1EXIS PEWX IQTPS]IV +MVP 7GSYX 0IEHIV 48% 1IQFIV 4IRMRWYPE =SYXL 3VGLIWXVE &SEVH 1IQFIV 4VSJIWWSVZMPPI ,MWXSVMG 4VIWIVZEXMSR 'SQQMXXII QIQFIV ')68 'MXM^IRW )QIVKIRG] 6IWTSRWI 8IEQ XS TVIWIRX 7IRMSV 4VSNIGX 1EREKIV ERH %VGLMXIGX %W ER EVGLMXIGX - LEZI FIIR MRZSPZIH RSX SRP] MR HIWMKR FYX MR EWWIWWQIRXW SJ FYMPHMRKW ERH WMXIW JSV LMWXSVMG TVIWIVZEXMSR -X [MPP FI FIRIJMGMEP XS XLI 'MX] XS LEZI E ORS[PIHKIEFPI TIVWSR [LS GER HMWXMRKYMWL FIX[IIR E FYMPHMRK XLEX MW XVYP] LMWXSVMGEP ZIVWYW E FYMPHMRK XLEX MW WMQTP] SPH %W - LEZI NYWX VIGIRXP] VIXMVIH - LEZI XLI XMQI ERH VIWSYVGIW XS WXYH] XLI MWWYIW ERH FI E GSRXVMFYXMRK QIQFIV SJ XLI FSEVH Historic Resources Board Application 3 of 5 2. Please describe an issue that recently came before the Board that is of particular interest to you and describe why you are interested in it. If you have never been to a Board meeting you can view an archived video from the Midpen Media Center: 3. If appointed, what specific goals would you like to see the Historic Resources Board achieve, and why? How would you suggest accomplishing this? DocuSign Envelope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istoric Resources Board Application 4 of 5 4. Please identify a project or projects that you find to be examples of good historic architecture, and explain why. You may attach samples, identify project addresses, or provide links. If you attach samples, Staff may request that you bring hard copy print outs to the interviews. 5. Historic Resources Board Members work with the documents listed below. If you have experience with any of these documents, please describe that experience. Experience with these documents is not required for selection. Palo Alto Comprehensive Plan Land Use Element Palo Alto Municipal Code Chapter 16.49 Secretary of the Interiors Standards for: Preserving, Rehabilitating, Restoring, and Reconstructing Historic Buildings California Environmental Quality Act DocuSign Envelope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ocuSign Envelope ID: CEF2E1E7-6060-4557-BF55-80980300AC93 Applications due March 20, 2018 at 4:30 pm Consent to Publish Personal Information on the City of Palo Alto Website California Government Code Section 6254.21 states, in part, "No state or local agency shall post the home address or telephone number of any elected or appointed official on the Internet without first obtaining the written permission of that individual." This consent form will not be redacted and will be attached to the Application and posted to the City's website. The fu ll code can be read here: LINK Read the code, and check only ONE option below: I give permission for the City of Palo Alto to post to the City's website the attached Board and Commission Application intact. I have read and understand my rights under Government Code Section 6254.21. I may revoke this permission at any time by providing written notice to the Palo Alto City Clerk. OR X I request that the City of Palo Alto redact my home address, phone numbers, and email address from the attached Board and Commission Application prior to posting to the City's website. I am providing the fo llowing alternate information and request that they use the following contact information instead. _x_ Home/ __ Office Phone:-------------------------- E-mail : ----------------------------------~ The phone number I address can be non-public and different than the address collected on page one. Date: 1/14/2018 (Optional) Additional Attachmentlsl If you would li ke to submit a resume, work sample, etc. along with your Application, Check this box and click "Attach" to upload your document(s). Gogo Heinrich Historic Resources Board Application 5 of 5 Historic Resources Board Application 1 of 5 Personal Information Note: The HRB regularly meets the second and fourth Thursdays of the month at 8:30 a.m. Name: Address: Cell Phone: ____ Home / ____ Office Ph E-mail: Are you a Palo Alto Resident? ____ Yes ____ No Do you have any relatives or members of your household who are employed by the City of Palo Alto, who are currently serving on the City Council, or who are Commissioners or Board Members? ____ Yes ____ No Are you available and committed to complete the term applied for? ____ Yes ____ No California state law and the Ci Conflict of Interest Code require appointed board and commission members to file a detailed disclosure of their financial interests, Fair Political Practices Commission, Conflict of Interest, Form 700. Do you or your spouse have an investment in, or do you or your spouse serve as an officer or director of, a company doing business in Palo Alto which you believe is likely to; 1) engage in business with the City, 2)provide products or services for City projects, or 3) be affected by decisions of the board or commission you are applying for? ____ Yes ____ No Excluding your principal residence, do you own or your spouse real property in Palo Alto?___Yes ____ No How did you learn about this vacancy? ____ Community Group ____ Email from City Clerk ____ Palo Alto Weekly ____ Daily Post ____City Website ____ Flyer Other: List relevant education, training, experience, certificates of training, licenses, or professional registration: DocuSign Envelope ID: DC0C369C-0AFD-4956-9E18-43E374B1762C /TEX$KQEMPGSQ 6IXMVIH GPMRMGEP WSGMEP [SVOIV +VEHYEXI WGLSSP MRGPYHIH GSYVWI [SVO MR GSQQYRMX] SVKERM^EXMSR KVSYT [SVO EPWS HYVMRK Q] GEVIIV ERH WSGMEP TSPMG] %W E PMJIXMQI PSGEP VIWMHIRX - LEZI E KSSH JIIPKVEWT SJ XLI EVIE LMWXSV] ERH VIWSYVGIW &]VSR 7X 4EPS %PXS '% / 4EXVMGME 0ERHQER DocuSign Envelope ID: DCOC369C-OAFD-4956-9E18-43E37481762C Employment Present or Last Employer: Goldengate Regional Center Occupation: Retired clinical social worker Describe your involvement in community activities, volunteer and civic organizations: While raising my children I volunteered at their school and then worked there as a t eacher's aide, substi tute teacher, and on special projects where kids needed extra support. I resumed my social work career as our children got older. Now that I've retired I have more time to devote to our community. Currently I'm back in the Unitarian Church choir and I am a member of the YMCA . We have to start our civic engagement somewhere in our lives. Those with a robust resume had a point where they started and someone recognized that they had something to offer. I have my years of working with people (to get things done to improve their lives) to bring to the Historic Resources Board. Why not give me a chance to contribute l1ere. What is it about the Historic Resources Board that is compatible with your experience and of specific interest to you, and why? I'm interested in the history of our area and in assuring that our coming generations get to enjoy this wonderful place as I have. Go ahead, take a chance on me! 0 0 K Patrici a Landman Historic Resources Board Application 2 of 5 Historic Resources Board Application 3 of 5 2. Please describe an issue that recently came before the Board that is of particular interest to you and describe why you are interested in it. If you have never been to a Board meeting you can view an archived video from the Midpen Media Center: 3. If appointed, what specific goals would you like to see the Historic Resources Board achieve, and why? How would you suggest accomplishing this? DocuSign Envelope ID: DC0C369C-0AFD-4956-9E18-43E374B1762C Historic Resources Board Application 4 of 5 4. Please identify a project or projects that you find to be examples of good historic architecture, and explain why. You may attach samples, identify project addresses, or provide links. If you attach samples, Staff may request that you bring hard copy print outs to the interviews. 5. Historic Resources Board Members work with the documents listed below. If you have experience with any of these documents, please describe that experience. Experience with these documents is not required for selection. Palo Alto Comprehensive Plan Land Use Element Palo Alto Municipal Code Chapter 16.49 Secretary of the Interiors Standards for: Preserving, Rehabilitating, Restoring, and Reconstructing Historic Buildings California Environmental Quality Act DocuSign Envelope ID: DC0C369C-0AFD-4956-9E18-43E374B1762C - PMOI XLI SPH LSYWIW SR /MTPMRK 'S[TIV ERH LEZI E WTIGMEP ETTVIGMEXMSR JSV XLI &MVKI 'PEVO FYMPHMRKW - PMOI XS XIWX Q] QIQSV] EW XS [LEX FYWMRIWWIW [IVI MR XLIQ SZIV XLI ]IEVW - PMOI LS[ WSQI SJ XLI RI[IV FYMPHMRKW JMX [MXL XLEX WX]PI 8LI WX]PI VIJPIGXW EW VIWTIGX ERH EHQMVEXMSR JSV PSGEP 0EXMR %QIVMGER 'EPMJSVRME VSSXW DocuSign Envelope ID: DCOC369C-OAFD-4956-9E18-43E37481762C Consent tp p11b!jsb perspnal lnfmmatjpn po the Cjty gt pa!p Altp Websjte California Government Code Section 6254.21 states, in part, "No state or local agency shall post the home address or telephone number of any elected or appointed official on the Internet without first obtaining the written permission of that individual." This consent form will not be redacted and will be attached to the Application and posted to the City's website. The full code can be read here: LINK Read the code, and check only ONE option below : I give permission for the City of Palo Alto to post to the City's website the attached Board and Commission Application intact. I have read and understand my rights under Government Code Section 6254.21. I may revoke this permission at any t ime by providing w ritten notice to the Palo Alto City Clerk. OR X I request that the City of Palo Alto redact my home address, phone numbers, and email address from the attached Board and Commission Application prior to posting to the City's website. I am providing the following alternate information and request that they use the following contact information instead. Address: Just l eave ou t our specific h ou se number pl ease __ Home / _X_ Office Phone: _6_5_0 __ 2_4_5_1_8_1_4 ___________________ _ E-mail: ------------------------------------------------~ The phone number I address can be non-public and different than the address collected on page one. ~DocuSigned by: Signature: L~f~~~ Date: 4/19/2018 (Optional) Additional Attachmentlsl If you would li ke to submit a resume, work sample, etc. along with your Application, Check this box and click "Attach" to upload your document(s). K Pat ricia Landman Historic Resources Board Application 5 of 5