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CITIZEN APPLICATION FORM FOR MEMBERSHIP ON ONE OF THE COMMON COUNCIL STANDING COMMITTEES AND CITIZEN APPOINTMENTS MADE TO OTHER BOARDS COMMISSIONS BY THE SOUTH BEND COMMON COUNCIL (01/15) Informational Listings of SBCC Standing Committees: Community Investment Committee Personnel & Finance Committee Community Relations Committee Public Works &Property Vacation Health &Public Safety Committee Residential Neighborhoods committee Information & Technology Committee Utilities Committee Pamks, Recreation, Cultural Arts & Entertainment Zoning & Annexation Committee Section 2 -12.3 of the South Bend Municipal Code (copy attached) sets forth the regulations addressing "Procedure for Addressing Citizen Appointments". Section 2 -10 of the South Bend Municipal Code (copy attached) sets forth the powers and duties of the eleven (11) Starding Committees of the South Bend Common Council. Each Committee is required to have not less than one (1) citizen member and no more than one -third (1/3) of its membership filled by citizen members. By completing and filing this application form the applicant agrees to abide by the rules and regulations set forth in the South Berl Municipal Code if selected to serve as a citizen member for the current calendar year. Any person selected will be required to be sworn in by proper oath by the Office of the City Clerk, with the Swearing -In Sheet being kept on file in the Office of the City Clerk. Name of Standing Committee/Boarc South Bend Human Rights Commission nes e Dr. South Bend, IN 46635 574-383 -5550 574 - 233 -1556 574 -217- Five + usb.edu rears oT mesmency warn tna Cty of south Bend Emailaddress I am a senor at IU South Bend earning my Bachelor's degree in the dual majors of English and Women's and Gender Studies. I have also worked as a hair dresser In the area for 14 ears. dumonal Background mcbd¢tganydegem and fhenameofcoaegas a nd/oruniesrsiees Find in et< K's of im UI_ 20 2015