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Item 01 SPAC Applicant Interviews
AGENDA ITEM SUMMARY SPRINGFIELD CITY COUNCIL Meeting Date: Meeting Type: Staff Contact/Dept.: Staff Phone No: Estimated Time: Council Goals: 11/22/2021 Work Session Chief Shearer/Police 541-726-3729 60 Minutes Promote and Enhance our Hometown Feel while Focusing on Livability and Environmental Quality ITEM TITLE: SPRINGFIELD POLICE ADVISORY COMMITTEE APPLICANT INTERVIEWS ACTION Interview eight applicants for three community at -large vacancies on the REQUESTED: Springfield Police Advisory Committee. ISSUE Nine (9) candidates submitted applications for three vacant community at -large STATEMENT: positions on the Springfield Police Advisory Committee. Two positions are available due to the position term expiration and the third position is available due to member resignation from the committee. ATTACHMENTS: ATT 1: Interview Schedule ATT 2: Interview Questions ATT 3: Application — Karla Berg ATT 4: Application — Cameron Goertzen ATT 5: Application — Jonathan Hayes ATT 6: Application — Colleen Hunter ATT 7: Application — Adam Jenkins ATT 8: Application — Carlan Kephart ATT 9: Application — Sera Miller ATT 10: Application — Barbara Sward ATT 11: Application — Zakary Gosa-Lewis ATT 12: Police Advisory Committee Current Roster DISCUSSION/ The Springfield Police Advisory Committee currently has three neighborhood/ FINANCIAL citizen at -large vacancies. Two vacancies were created due to expiration of IMPACT: committee member four-year terms in August and October 2021. The third vacancy was created due to the resignation by Johnny Kirschenmann on July 29, 2021. The City received eight applications for the three neighborhood/citizen at -large positions on the Springfield Police Advisory Committee. Applications were received from: Karla Berg, Cameron Goertzen, Jonathan Hayes, Colleen Hunter, Adam Jenkins, Carlan Kephart, Sera Miller, Barbara Sward, and Zakary Gosa- Lewis. The Springfield Police Advisory Committee is currently a ten -member volunteer committee appointed by Council consisting of four neighborhood/citizen-at-large representatives, one School District 19 representative, one Willamalane Park and Recreation District representative, two representatives of the local business community, one cultural minority community representative, and one faith community representative. Council has communicated an anticipated reduction to a nine -member committee with the removal of the second local business community position. Committee membership is a four-year term. The City Council decision for committee appointments is scheduled for the December 6, 2021 City Council Regular Session meeting. Springfield Police Advisory Committee - Interview Agenda All applicants were asked to join the virtual meeting at 5:30 p.m. Estimated Duration Topic Start Time Council review and adjustment of Police Advisory 5:30 p.m. Committee interview questions 5:35 p.m. 5 minutes Interview of Karla Berg 5:40 p.m. 5 minutes Interview of Cameron Goertzen 5:45 p.m. 5 minutes Interview of Jonathan Hayes 5:50 p.m. 5 minutes Interview of Colleen Hunter 5:55 p.m. 5 minutes Interview of Adam Jenkins 6:00 p.m. 5 minutes Interview of Carlan Kephart 6:05 p.m. 5 minutes Interview of Sera Miller 6:10 p.m. 5 minutes Interview of Barbara Sward 6:15 p.m. 5 minutes Interview of Zakary Gosa-Lewis 6:20 p.m. Council discussion/deliberation Attachment 1, Page 1 of 1 Springfield Police Advisory Committee (SPAC) Interview Questions QUESTIONS 1. Why you are interested in serving on SPAC? 2. Describe your understanding of the role you will have serving on the SPAC and how it relates to the work of the Council. 3. What do you see as current issues and challenges for the City of Springfield? Attachment 2, Page 1 of 1 OCT 22 REC'D Pk 6kOwn GFIELD Application for a City of Sprint -field Advisory hoard/C'ommission/C'ommittec Cftrt Mandres OMcr • 2Vt Fifth Strad • Springtietd, OR 97477 When p osuble, courrcil will not sp print people nirrenth• sentag on mother,: traiaR body to the Planubg Causaalurm nr Bud r • A ben appoin ing people to W of the other ata beard6, commdrsian or wasod w% the Coundl >6A Wee into account whether utas person n Wv.j; rrappoLned tar ■ iubsequenl tere. is cm. d) wr ift on another aurernteg body or cu tenib appointed w ark•rhrr un tM riL rumnu is Wo or tip u n:r recti • Wont vouible dw Council %ill appatut peopk to +env a one Cih board, comadsAon or coneemittee ouh. 33Iird Commss_ionlC'ommnh ect xpprn, Enc PQii�s Advisory Committee J '. �:paratr: apph4lllou n.i � ct be COtnl?leacd for �::tth � t'DIIIINS5IDR / aotprtulltx 1 Hurpc adti:c�s5. ,- Sirr.'t Nfartim addreta M Ena Trp Prtferrrd Foxe:aLCloMWL - lk'040E Der %ou lire within the Spunokid cu-� ixmns ' 10 1 C5 Watd atrmhcr ((10 rcSKkta+ crd�) Am you a Sprrng6cid prapcm nu err ' Yrs NO Ate 3 on 7 Sprig wM business iowrrr' Yes No Ata ttru d tgpstcrtd ■atsYr Yea No tt 1 ts. hasv lcng r�ZC S If no. do sou bve inside: $ ng icld's Urban GioNsth 9uund.'tn Yrs[] no t9eazIMA atidrxxa �1 r S r"Z idw-�W- " l Asc r rm oxic aly terry inn tm ani olhcr board. strmtrtipeae, nr ,�rpsmissinn' If so, pl+atAc hu theta here -OD ff- How drd rou liar alrpt0 Ric al- n -c ti aws r" El%k1% ad` ❑ �'cR datper arw. ❑ il.ada�.rl�11 ❑ lt�t(Ill ON" ❑ wordafmrxnts ❑ trtcrrirrt �3 Itacntel Ifh, r. lrlr(r ' 1 FM rrflre snfortmuon pk a_w call the City mmnagv's oMiice ii 1 72e, i CKs Renern the, arWk mhnm to the ren- Mnrutrm s (Wrc '21 FOIL %Irani Snrinvfwtd?hram 974 77 ATTACHMENT 3, Pagel of 2 SPRINGFIELD OREGON GFIELD --- _- - Application for a City of Springfield Citizen Advisory Board/Commission/Committee I'lem pitta or ape 1 1�hat e�erieaxt c trauu'W gstlrfie;mons do von hen v for this Ruutular board / oorrinumon / conmuttee? t ( pY* I rS:�41L�t r CU t dGv4 Q ^Pw Lux-, VtO c7 j M44- aJoAdy1 -§1u5 � Y ukdr l u�t�i� fDrr�rnr{�fGC� Ir�t,� l ` vrd Grp-lhe.13eOX What spoc6c contribution d,r you bops to make' } JJ `! Otte rnkl� t � 8ndh desano, yo, r m o!tement to relevant coinniumt% rcoups and actio tm iLack of pm-.tious in voh+emert will not nmusanfs & -v4bai N +au frntn:pnstdctauon, ;t3(Z t1�^ ���r ��z ri=y�Y�zr bF •¢f.4 60A,65 • 1 - -�.5 r��ve_S VhL Of V'Ll, - k- 1^6 w 61'`'� 3 What iroaunumn mpit% corrxm you time m. -le to this board ; Winnusnon I eommtnal Wtn d0 a on watt to b000un a utrrnb 1 � ��I.�,►-� ��, 5 ,�;;trc� 4 ;>.�.��ts� -�r7 4�e. r'A-. �i'k;.2 !`. �---i'��,+.�..-k ' Pi S6. Q,^ LLA -0, 2-kx,,4N BPpb)(.LO r, r P-5 Lttt 4-- tnnc ColtUk�-+�ecxL�h 6q,\4 I �.�,, � �, �p vwr3 I Most boards f conurukti;oa1 .onu ltcrs mixt nionllds Subconunntees awn niwi Twn: fregtu tenth ��C4I111L$ l CnDralh last o. aW cine-kalf hours It is hlghlr rwrommuraded iou attend a inwtine trrfom w- bmittinti the lip ttticatit,n Please read the ax tckas& foe ettispmuon iahiehcontains the ownral and urns for thc.i incentms and ion be fu -:Ptd i: Are %au;s mlabk uo.utend ui�ma tg-s on tltr d.Hi i, ti,tcd fol flus _VMnuttL-C' in YOO No colanxift l cneq trrfrrr.+e.ltttaramik„r.,,.w.u.ra. Wo ovum tae I Is t etr.I I OW tate n 06hatYmW nfaer�r s rr� Mrakn�rlw i rattrt Mr RHrI{pn K rppY,.titlUL ta�n1 d atone Insa dl�tie tM, K 1�1MIr � /rr�tim, t (uRtiy watre np ritlr. a rYMw vrira�r y1,+r a1. ngiwrr sad Orr { In d hjwr�,iLL w danr� �ti wrl spl�yerA � r�sd x ■rF d at1lrtrt�ilrya 1. Iterrin ,nCrdrr w }wtrt � i7a a tipnnttlrtd uM4ar uM tilrtadltliF l+rlltr tYepairasar m +rtik•s ati trtima.al Mttrr'rtrrrxa and W r.Me1eN p �5[►' rscs+r,k I isstt terkn cls AA*bely amt anee LN nrirnrapairri.Mr er wr 4wAm ra rip air &Aral pokma I Mop swhwus tis}wr wp mmv" h tuad t l -w a W ftpMd mid ftkbwd a. tit , 1r. of SprbW10!• I &a&wbt dw ar ■ r4 11- � sr+ph 1 . in Jdmi 4 d Mrl/ iuwrr. Cie Ck? rr 9pdt�dt, m aOitM Wbpi+tr ns, aaa apnfrx tart$ ui 6Pki IN bAOk)' w Isis Mail Sokw am a,M IN fb*M, talu% nwr d artatwS 1rerWlrW rr &PPOk irYrd 2WC sr A14ft WA d •r NOW" 4aar we M roamed r wall of ' IWW rn or peA-. list - a rvk,Aerr w1W dw rtemt S1 I ImmWft bW OK j wV Mr}' w rYr.11M or in opt %] =W Nrtum" vWNW "Mumma mxtm-Im .tet ntwe; eat 11- ff" - of Cr (1r� d SPrtlraa" ApplicantSlgna= Do,__22QRZ aI For mu re InfUlnntlan pk;asr tali the Oty Ai.�enaper'a Ofliicc 341 726 1'U) RCIUM tlpe xtrdb7u►ntr Nr 1hC Oh' iM,rrmxr - F14FAW 771 FAVI+ tirlrri Snnnvfidd fftonn 47477 ATTACHMENT 3, Page 2 of 2 SPRINGFIELD _ NOV 05 RFC's Application for a City of Springfield '.3s Citizen Advisory Board/Commission/Committee OREGON City Manager's Office • 225 Fifth Street • Springfield, OR 97477 PLEASE NOTE: • When possible, council will not appoint people currently serving on another governing body to the Planning Commission or Budget Committee. • When appointing people to any of the other city boards, commissions or committees, the Council shall take into account whether that person is being reappointed for a subsequent term, is currently serving on another governing body or currently appointed to another city board, commission or committee. • When possible, the Council will appoint people to serve on one City board, commission or committee only. Board / Commission / Committee applying for: Springfield Police Advisory Committee (A separate application must be completed for each board / commission / committee) Name: Cameron First Home address: Middle Initial Goertzen Last Street City Zip Mailing address Street City Zip Day Phone: Evening phone: Email Address: Preferred Form of Contact: Email Do you live within the Springfield city limits? Yes No Ward number (City residents only): S4 I� If yes, how long? 35 years If no, do you live inside Springfield's Urban Growth Boundary? ® Yes ®No Are you a Springfield property owner?n Yes No Are you a Springfield business owner? Yes ✓ No Are you a registered voter? Yes No Occupation: Electric Department CSR Place of employment/School: Springfield Utility Board Springfield Utility Board Business address: 1001 Main St. Springfield OR 97477 Education: Bachelor of Business Administration- Bushnell University oroi ected Graduation 2023 0 Are you currently serving on any other board, committee, or commission? If so, please list them here: Northwest Raptor Rally How did you hear about the above vacancy? ❑ Newspaper ad ❑ Newspaper article ❑ Radio/TV ❑ Mail notice ❑ Word of mouth ❑ Board/Commission/Committee member Fv] Internet (Over, please) For more information please call the City Manager's Office 541.726.3700 Return this application to the City Manager's Office, 225 Fifth Street, Springfield Oregon 97477 ATTACHMENT 4, Page 1 of 2 Printed on Recycled Paper SPRINGFIELD Application for a City of Springfield 010, Citizen Advisory Board/Commission/Committee OREGON Please print or type: 1. What experiences / training / qualifications do you have for this particular board / commission / committee? I have served on a few committees and have always joined playing a role in the betterment of the organization. I have 13 years of public service at Springfield Utility Board, and plan to continue seeking opportunities to serve the Springfield Community. 2. What specific contribution do you hope to make? I hope to provide logical and balanced input to help the Police Department improve where necessary. Briefly describe your involvement in relevant community groups and activities. (Lack of previous involvement will not necessarily disqualify you from consideration.) I have served on the Northwest Raptor Rally committee for 6 years, which is a group of people who plan and execute a large yearly event held in Winchester Bay Oregon. I have served at many events planned by SUB or where SUB had a sponsorship opportunity. These events include the annual Springfield Christmas Parade, the 4th of July Light of Liberty Celebration, and the Lane County Fair Bingo Tent. Last summer I volunteered at the Olympic Race Walk Event. 4. What community topics concern you that relate to this board / commission / committee? Why do you want to become a member? I believe transparency is important in a police department as long as safety for officers and citizens is protected. I want to become a member so that I can help bridge the gap of understanding between the two groups of people. Most boards / commissions / committees meet monthly. Subcommittees may meet more frequently. Meetings generally last one and one-half hours. It is highly recommended you attend a meeting before submitting the application. Please read the news release for this position which contains the normal dates and times for these meetings and can be found at haps://www.si2ringfield-or.gov/city/newsroom/. Are you available to attend meetings on the dates listed for this committee? eYes® No Comments: I certify the information in this application and attachments are true and complete to the best of my knowledge. I understand that false or misleading statements or missing information is cause for rejection of application, removal of name from eligible list, or dismissal from the position. I hereby waive my rights to claims or damages against any employer and the City of Springfield, its officers, agents, and employees, in regard to this exchange of information. I hereby authorize to permit the City of Springfield and/or the Springfield Police Department to review my background information and if required my DMV records. I have reviewed the Advisory and meet the minimum requirements to serve/volunteer in the desired position. I also authorize to permit any materials listed above to be copied and retained by the City of Springfield. I authorize the use of my photograph. I will defend, indemnify and hold harmless the City of Springfield, its officers, employees, and agents from and against all liability or loss and against any and all claims, actions, causes of actions, proceedings or appeals based upon or arising out of or arising from or in connection with my conduct or performance as a volunteer with the City of Springfield including but not limited damage or injury to persons or property and including without limitation attorney fees and expenses; except for losses, claims -or actions resulting from the sole negligence of the City of Springfield. Applicant Signature: Date: For more information0 09541..726.3700 Return this application to the City Manager's Office, 225 Fifth Street, Springfield Oregon 97477 ATTACHMENT 4, Page 2 of 2 Printed on Recycled Paper SPRINGFIELD T � 2 REC�J Application for a City of Springfield X _ 12- RM Citizen Advisory Board/Commission/Committee OREGON City Manager's Office • 225 Fifth Street • Springfield, OR 97477 PLEASE NOTE: • When possible, council will not appoint people currently serving on another governing body to the Planning Commission or Budget Committee. . • When appointing people to any of the other city boards, commissions or committees, the Council shall take into account whether that person is being reappointed for a subsequent term, is currently serving on another governing body or currently appointed to another city board, commission or committee. • When possible, the Council will appoint people to serve on one City board, commission or committee only. Board / Commission / Committee applying for: Police Advisory Committee (A separate application must be completed for each board / commission / committee) Name: Jonathan First Home address: L Middle Initial Last a Street City zip Mailing address: Street City zip Day Phone: I Evening phone: Email Address: Preferred Form of Contact: _Day Phone Do you live within the Springfield city limits? El Yes ® No Ward number (City residents only): 4 Are you a Springfield property owner?P Yes Are you a Springfield business owner? Yes Are you a registered voter? Yes Occupation: Firefighter/ Paramedic City of Springfield Place of employment/School: City of Springfield Business address: 225 5th Street, Springfield, OR, 97477 Education: AAS Criminal Justice a Are you currently serving on any other board, committee, or commission? If so, please list them here: No How did you hear about the above vacancy? ❑ Newspaper ad ❑ Newspaper article ❑ Radio/TV ❑ Mail notice ❑ Word of mouth � Board/Commission/Committee member 11Internet (Over, please) For more information please call the City Manager's Office 541.726.3700 Return this application to the City Manager's Office, 225 Fifth Street, Springfield Oregon 97477 ATTACHMENT 5, Page 1 of 2 Printed on Recycled Paper If yes, how long? 2 years If no, do you live inside Springfield's Urban Growth Boundary? Yes ® No No No P No Place of employment/School: City of Springfield Business address: 225 5th Street, Springfield, OR, 97477 Education: AAS Criminal Justice a Are you currently serving on any other board, committee, or commission? If so, please list them here: No How did you hear about the above vacancy? ❑ Newspaper ad ❑ Newspaper article ❑ Radio/TV ❑ Mail notice ❑ Word of mouth � Board/Commission/Committee member 11Internet (Over, please) For more information please call the City Manager's Office 541.726.3700 Return this application to the City Manager's Office, 225 Fifth Street, Springfield Oregon 97477 ATTACHMENT 5, Page 1 of 2 Printed on Recycled Paper SPRINGFIELD Application for a City of Springfield Citizen Advisory Board/Commission/Committee OREGON Please print or type: 1. What experiences / training / qualifications do you have for this particular board / commission / committee? I hold a degree in Criminal justice, have experience in corrections and the TSA, and am acutely aware of the role that police plays in the community. 2. What specific contribution do you hope to make? I hope to contribute ideas that are derived from my personal and professional experiences to ensure the safety of our police officers while empowering them to fulfill their duties. I have worked with law enforcement agencies locally and on the east coast which has given me broad exposure to successful practices. Briefly describe your involvement in relevant community groups and activities. (Lack of previous involvement will not necessarily disqualify you from consideration.) Relevant activities that I am involved in are limited to talking with and responding to EMS/ Fire calls with Springfield Police. 4. What community topics concern you that relate to this board / commission / committee? Why do you want to become a member? I want to become a member to address topics such as equity, safety, and accountability for Springfield Police and the community. 5. Most boards / commissions / committees meet monthly. Subcommittees may meet more frequently. Meetings generally last one and one-half hours. It is highly recommended you attend a meeting before submitting the application. Please read the news release for this position which contains the normal dates and times for these meetings and can be found at hgps://www.5pringfield-or.Qov/city/newsroom/. Are you available to attend meetings on the dates listed for this committee? eYeso No I certify the information in this application and attachments are true and complete to the best of my knowledge. I understand that false or misleading statements or missing information is cause for rejection of application, removal of name from eligible list, or dismissal from the position. I hereby waive my rights to claims or damages against any employer and the City of Springfield, its officers, agents, and employees, in regard to this exchange of information. I hereby authorize to permit the City of Springfield and/or the Springfield Police Department to review my background information and if required my DMV records. I have reviewed the Advisory and meet the minimum requirements to serve/volunteer in the desired position. I also authorize to permit any materials listed above to be copied and retained by the City of Springfield. I authorize the use of my photograph. I will defend, indemnify and hold harmless the City of Springfield, its officers, employees, and agents from and against all liability or loss and against any and all claims, actions, causes of a or arising out of or arising from or in connection with my conduct or performance as a volunteer with the City of S e or injury to persons or property and including without limitation attorney fees and expenses; except for losses, cl gence of the City of Springfield. Applicant Signature: Date:. For more information please call the City Manager's Uthmice 141.726.3700 Return this application to the City Manager's Office, 225 Fifth Street, Springfield Oregon 97477 Printed on Recycled Paper ATTACHMENT 5, Page 2 of 2 ,SPRINGFIELD Application for a City of Springfield N01'04 RECD Citizen Advisoru Board/Commission/Committee 1�1° OREGON City Manager's Office • 225 Fifth Street • Springfield, OR 97477 PLEASE NOTE: • When possible, council will .not appoint people currently serving nn another governing bedy to the Planning Comaissien or Budget Committee. • When appointing people to any of the other city boards, commissions or committees, the Council shall take into account whether that person is being reappointed for a subsequent term, is currently serving on another governing body or currently appointed to another city board, commission or committee. • When possible, the Council will appoint people to serve on one City board, commission or committee only. Lvauu, ..vuuu,ou.vu-. ...vl=.ui.i«.,., uNYiy �ivi.n /� y I l n 1 [1 . _ . / _ ._ n ._ 4� r (A se§arate application must be completed for each board / cai&nission / committee) Home address: Mailing address:, -AAA -E Street City Zip Day Phone: Email Addr( Preferred Fc Bo you live within the Springfield city limits? Yes No Ward number (City residents only): Are yott a Smirvemli rmxierN ter? lees: # n Are you a Springfield business owner? 13Yes No Ar t d t 9 YEFF- W, N If yes, how long? If no, do you live inside Spritl field's Urban Growth Boundary? Yes r No e you a regia wr vo %,I es o Occupation: l.' Place of employment/School:--,,--�)-y1j Aq-&j 1r f Business Are you currently serving on hfy other committee, or commission -et if so, please list them here: .v How did,you hear about the above vacancy? Newspaper ad Newspaper article Radio/TV t I Mail notice u- Word of mouth ❑ Board/Commission/Committee member Internet (Over, please) For more information please call the City Manager's Office 541.726.3700 Return this application to the City Manager's Office, 225 Fifth Street, Springfield Oregon 97477 ATTACHMENT 6, Page 1 of 2 Printed on lcecyciedraper SPRINGFIELD OW OREGON Please print or type: 1. What experiences / training / a - 49 �� 4hat s1cifi Application for a City of Springfield Citizen Advisory Board/Commission/Committee qualifications do you have for this particular board / commission / committee? n(Iu � > ho k ri1 I P�: log E &MqL, �%�G V o ugh most [I p 3. Briefly describeour involvement m r ev�ant do 00's - n who urea. y groups and ac�i tle��k o re to m�olv��l not rNV necessarily disqualify you from consideration.) -F h,'U, wAk)-,57�4pl:-� 11 farP (lc.- Duca=N -far ou T q1 rT 111at community topics concern you that relate to this board / commission / committee? Why do you want to become a member? cry crl eb, ) a u ,e irl N -mi 1 �Sonn� ow ell 1 111. e, to --sp-e 'o 5. Most boards / commissions / committees meet monthly. Subcommittees may meet more fr quently. Meetings generally last one and one-half hours. It is highly recommended you attend a meeting before submitting the application. Please read the news release for this position which contains the normal dates and times for these meetings and can be found at hu L s://wwwsoringfield-or.gov, cii � /newsroom/. Are you available to attend meetings on the dates listed for this committee? yes"-- ivo I certify the information in this application and attachments are true and complete to the best of my knowledge. I understand that false or misleading statements or missing information is cause for rejection of application, removal of name from eligible list, or dismissal from the position. I hereby waive my rights to claims or damages against any employer and the City of Springfield, its officers, agents, and employees, in regard to this exchange of information. I hereby authorize to permit the City of Springfield and/or the Springfield Police Department to review my background information and if required my DMV records. I have reviewed the Advisory and meet the minimum requirements to servelvolunteer in the desired position_ Ialso authorize to Permit any materials fisted above to be copied and retained by the laity of Springfield. i authorize the use of my photograph. I will defend, indemnify and hold harmless the City of Springfield, its officers, employees, and agents from and against all liability or loss and against any and all claims, actions, causes of actions, proceedings or appeals based upon or arising out of or arising from or in connection with my conduct or performance as a volunteer with the City of Springfield including but not limited damage or injury to persons or property and including without limitation attorney fees and expenses; except for losses, claims or actions resulting from the sole negligence of the City of Springfield. Applicant For more information please call the City Manager's Office 541.726.3700 Return this application to the City Manager's Office, 225 Fifth Street, Springfield Oregon 97477 ATTACHMENT 6, Page 2 of 2 Printed on Recycled Paper SPRINGFIELD OREGON Application for a City of Springfield NOV 06 RECI Citizen AdvisoryBoard/Commission/Committee ` 5 D City Manager's Office • 225 Fifth Street • Springfield, OR 97477 PLEASE NOTE: • When possible, council will not appoint people currently serving on another governing body to the Planning Commission or Budget Committee. • When appointing people to any of the other city boards, commissions or committees, the Council shall take into account whether that person is being reappointed for a subsequent term, is currently serving on another governing body or currently appointed to another city board, commission or committee. • When possible, the Council will appoint people to serve on one City board, commission or committee only. Board / Commission / Committee applying for: Springfield Police Advisory Committee (A separate application must be completed for each board / commission / committee) Name: Adam C Jenkins First Middle Initial Last Home address: Street City Zip Mailing address: Street City Zip Day Phone Evening phone Email Address: Preferred Form of Contact: Email Do you live within the Springfield city limits? El Yes r No Ward number (City residents only): 6 Are you a Springfield property owner? YesNo Are you a Springfield business owner? Yes No Are you a registered voter? s Yes No If yes, how long? 14 Years If no, do you live inside Springfield's Urban Growth Boundary? 11 Yes r No Occupation: President of Low Voltage NW Place of employment/School: Low Voltage NW, LLC Low Voltage NW, LLC Business address: 2837 22nd St. SE STE 155 Salem, Or 97302 Education: 4 vears of College at Universitv of Oregon Are you currently serving on any other board, committee, or commission? If so, please list them here: Thurston Youth Football, soon to be on Salem Contractors Exchange How did you hear about the above vacancy? ❑ Newspaper ad ❑ Newspaper article ❑ Radio/TV ❑ Mail notice ❑ Word of mouth Board/Commission/Committee member ❑ Internet (Over, please) For more information please call the City Manager's Office 541.726.3700 Return this application to the City Manager's Office, 225 Fifth Street, Springfield Oregon 97477 ATTACHMENT 7, Page 1 of 2 Printed on Recycled Paper SPRINGFIELD Application for a City of Springfield ` Citizen Advisory Board/Commission/Committee .OREGON Please print or type: 1. What experiences / training / qualifications do you have for this particular board / commission / committee? I am a committed individual who thrives on competition and wants to learn how to become a better business leader and person. I started 17 years ago working part time in a warehouse and cleaning bathrooms at that company on weekends. Now I am part owner and President of my current company. I will stop at nothing to work hard and provide my best to my customers and employees. I feel like this can translate in working for our community. 2. What specific contribution do you hope to make? I hope to provide insight from my perspective in this community. Finding solutions outside the box in addressing issues or concerns. It is important to me that the Springfield Police is an organization supported by the community as they serve a vital role in making Springfield a livable, thriving city. 3. Briefly describe your involvement in relevant community groups and activities. (Lack of previous involvement will not necessarily disqualify you from consideration.) This past year I joined the Thurston Youth Football board, to do my part in making sure each kid has a safe and equal opportunity to play. I have volunteered for the Watch Dog Dad program at my children's school. Over the years I have watched my wife volunteer her time with Junior League of Eugene and now at our kids' school as a board member on the parent group. I want to get more involved in this community and hope to learn from the members of the board/committee. It is important for me to have a community I can be proud of and watch my kids grow in. 4. What community topics concern you that relate to this board / commission / committee? Why do you want to become a member? I'm a father of two young kids, so their protection is my primary concern. Making sure our streets and schools are a safe place for all. I want to see growth in our community and be a part of the economic development to increase acknowledgement of this amazing place we all live in. There are a lot of great people and small businesses, so I want to do my part for us all to thrive in this community. 5. Most boards / commissions / committees meet monthly. Subcommittees may meet more frequently. Meetings generally last one and one-half hours. It is highly recommended you attend a meeting before submitting the application. Please read the news release for this position which contains the normal dates and times for these meetings and can be found at htips://www.springfield-or.&Q—v/city/newsroom/. Are you available to attend meetings on the dates listed for this committee? 0 Yeso No I certify the information in this application and attachments are true and complete to the best of my knowledge. I understand that false or misleading statements or missing information is cause for rejection of application, removal of name from eligible list, or dismissal from the position. I hereby waive my rights to claims or damages against any employer and the City of Springfield, its officers, agents, and employees, in regard to this exchange of information. I hereby authorize to permit the City of Springfield and/or the Springfield Police Department to review my background information and if required my DMV records. I have reviewed the Advisory and meet the minimum requirements to serve/volunteer in the desired position. I also authorize to permit any materials listed above to be copied and retained by the City of Springfield. I authorize the use of my photograph. I will defend, indemnify and hold harmless the City of Springfield, its officers, employees, and agents from and against all liability or loss and against any and all claims, actions, causes of actions, proceedings or appeals based upon or arising out of or arising from or in connection with my conduct or performance as a volunteer with the City of Springfield including but not limited damage or injury to persons or property and including without limitation attorney fees and expenses; except for losses, claims or actions resulting from the sole negligence of the City of Springfield. Applicant 1/04/21 For more information please call the City Manager's Office 541.726.3700 Return this application to the City Manager's Office, 225 Fifth Street, Springfield Oregon 97477 Printed on Recycled Paper ATTACHMENT 7, Page 2 of 2 i RINGFIELD OREGON NOV 64 M Application for a City of Springfield Af Citizen Advisory Board/Commission/Committee City Manager's Office • 225 Fifth Street • Springfield, OR 97477 PLEASE NOTE: • When possible, council will not appoint people currently. serving on another governing body to the Planning Commission or Budget Committee. • When appointing people to any of the other city boards, commissions or committees, the Council shall take into account whether that person is being reappointed for a subsequent term, is currently serving on another governing body or currently appointed to another city board, commission or committee. • When possible, the Council will appoint people to serve on one City board, commission or committee only. Board / Commission / Committee applying for: Springfield Police Advisory Committee (A separate application must be completed for each board / commission / committee) Name: Carlan First V Middle Initial Last Home address: _ Street City Zip Mailing address: Same Street City Day Phone Evening phone: same Email Address: Preferred Form of Contact: Evening Phone Do you live within the Springfield city limits? E Yes ©i No Ward number (City residents only): 6 Are you a Springfield property owner? Yes No Are you a Springfield business owner? Yes No Are you a registered voter? Yes No Zip If yes, how long? 7 years If no, do you live inside Springfield's Urban Growth Boundary? E] Yes nko Occupation: High School Language Arts Teacher Place of employment/School: Churchill High School/Eugene SD 4J Churchill SD 4J Business address: 1850 Bailey Hill Rd. Eugene OR Education: M.Ed. Instructional Leadership Are you currently serving on any other board, committee, or commission? If so, please list them here: No, How did you hear about the above vacancy? ❑ Newspaper ad ❑ Newspaper article ❑ Radio/TV ❑ Mail notice 171 Word of mouth ❑ Board/Commission/Committee member ❑ Internet (Over, please) For more information please call the City Manager's Office 541.726.3700 Return this application to the City Manager's Office, 225 Fifth Street, Springfield Oregon 97477 Printed on Recycled Paper ATTACHMENT 8, Page 1 of 2 SPRINGFIELD Application for a City of Springfield Citizen Advisory Board/Commission/Committee OREGON Please print or type: 1. What experiences / training / qualifications do you have for this particular board / commission / committee? I am a veteran educator of 22 years. In that capacity I have attended trainings on equity and understand how crucial that work is to my teaching: for all students to be seen, valued and heard, in addition to the necessity of actively dismantling systems that have historically been used to do the opposite. This applies to this committee because it is a lens through which police work must be viewed for all community members to feel safe and be served. 2. What specific contribution do you hope to make? I hope to help facilitate increased transparency between the SPD and our community, and advocate both for more accountability for officer's behavior as well as recruitment of more representative officers to become a true reflection of our community, which I believe will lead to a change in the culture of the SPD overall, because it will involve a more diverse set of perspectives. 3. Briefly describe your involvement in relevant community groups and activities. (Lack of previous involvement will not necessarily disqualify you from consideration.) I participated in a "Coaching for Equity" book group this Spring, training teachers to coach colleagues in reflecting on their current practices, ways they may be perpetuating inequity for under -served populations of students, and what strategies can be used to remove those roadblocks to success for those students. Currently I am involved in a book group studying anti -racist curriculum planning, and serving as equity representative on the Operations Committee at Churchill High School. 4. What community topics concern you that relate to this board / commission / committee? Why do you want to become a member? I'm concerned about transparency, accountability and the policing culture in Springfield. I'm concerned that there are members of our community who do not feel served by the SPD, but rather targeted and intimidated. I am invested in this community I call home. and want to become a member because I can be, for those who want to be, but can't, or for those who don't know to be, I can. To advocate for the voices that are too often left out of the conversation. 5. Most boards / commissions / committees meet monthly. Subcommittees may meet more frequently. Meetings generally last one and one-half hours. It is highly recommended you attend it meeting before submitting the application. Please read the news release for this position which contains the normal dates and times for these meetings and can be found at https:/'w.vw.sprinc! ' _ Are you available to attend meetings on the dates listed for this committee? OYes© No Comments: I have attended several police advisory committee meetings online the last couple of years, as well as city cop I certify the information in this application and attachments are true and complete to the best of my knowledge. I understand that false or misleading statements or missing information is canoe for rejection of application, removal of some from eligible list, or dismissal from the position. I hereby waive my rights to claims or damages against any employer and the City of Springfield, its officers, agents, and employees, in regard to this exchange of information. I hereby authorize to permit the City of Springfield and/or the Springfield Police Department to review my background information and if required my DMV records. I have reviewed the Advisory and meet the minimum requirements to servdvolunteer in the desired position. I also authorize to permit any materials nsted above to be copied and retained by the City of Springfield. I authorize the use o! my photograph. I will defend, indemnity and hold harmless the City of Springfield, its officers, employees, and agents from and against all liability or toes and against any and aU claims, actions, causes of actions, proceedings or appeals based epos or arising out of or arising from or is connection with my conductor performance as a volunteer with the City of Springfield including but not limited damage or injury to persons or property and including without limitation attorney fees and expenses; except for losses, claims or actions resi.1ting from the eule umli¢eace of the City of Springfield. Applicant Signature: _ Date. - .. /,/.2 L For more information please call the City Manager's Office 541.726.3700 Return this application to the City Manager's Office, 225 Fifth Street, Springfield Oregon 97477 Printed on Recycled Paper ATTACHMENT 8, Page 2 of 2 SPRINGFIELD NOV 05 RECD Application for a City of Springfield Citizen Advisory Board/Commission/Committee �S' 3 d `. kOREGON City Manager's Office • 225 Fifth Street • Springfield, OR 97477 PLEASE NOTE: • When possible, council will not appoint people currently serving on another governing body to the Planning Commission or Budget Committee. • When appointing people to any of the other city boards, commissions or committees, the Council shall take into account whether that person is being reappointed for a subsequent term, is currently serving on another governing body or currently appointed to another city board, commission or committee. • When possible, the Council will appoint people to serve on one City board, commission or committee only. Board / Commission / Committee applying for: Springfield Police Advisory Committee (A separate application must be completed for each board / commission / committee) Name: Sera First Home address: R Miller Middle Initial Last Street City Zip Mailing address: Street City Zip Day Phon Evening phone: Email Address: Preferred Form of Contact: -Email Do you live within the Springfield city limits? ✓ T Yes F1 No Ward number (City residents only): 3 , Are you a Springfield property owner? Yes No Are you a Springfield business owner? Yes No Are you a registered voter? N Yes No If yes, how long? 4 Years If no, do you live inside Springfield's Urban Growth Boundary? F]Yes ® No Occupation: Lean Specialist Place of employment/School: PeaceHealth Medical PeaceHealth Medical 0 Business address: 1200 Hilyard, Suite. 650 Eugene, OR 97401 Education: HS Graduate, Various postsecondary educational degrees and certifications attained -information provided by re Are you currently serving on any other board, committee, or commission? If so, please list them here: N/A How did you hear about the above vacancy? ❑ Newspaper ad ❑ Newspaper article ❑ Radio/TV ❑ Mail notice ❑ Word of mouth F7 Board/Commission/Committee member ❑ Internet (Over, please) For more information please call the City Manager's Office 541.726.3700 Return this application to the City Manager's Office, 225 Fifth Street, Springfield Oregon 97477 Printed on Recycled Paper ATTACHMENT 9, Page 1 of 2 SPRINGFIELD Application for a City of Springfield Citizen Advisory Board/Commission/Committee OREGON Please print or type: 1. What experiences / training / qualifications do you have for this particular board / commission / committee? In my career I have had a fair amount of experience in strategic planning and operational development. Given that the Police Advisory Committee is interested in community input in long-term planning, I believe I am well-suited to assist through my prior work. I have additional history in managing quality improvement, compliance, and training all of which I believe would allow me to provide a valuable voice to this committee. 2. What specific contribution do you hope to make? Over the last several years, justice reform has become a top focus across the nation and communities have had to react, assess, and reevaluate myriad areas of their organizations and respond appropriately. As a community member who is deeply invested in the safety and wellbeing of our city, I am desirous to contribute my skillset as well as my passion for the issues this committee oversees. 3. Briefly describe your involvement in relevant community groups and activities. (Lack of previous involvement will not necessarily disqualify you from consideration.) Having been in Springfield for the last 4+ years, l have engaged in various community organizations through my work in healthcare and outside of it. At the onset of the pandemic, I assisted my organization in establishing a robust incident command structure to ensure continued patient care for our communities. Additionally, (though not entirely relevant to this committee), I am an active volunteer in Springfield with Hearts for Hospice and Lane County with Wiggly Tails Dog Rescu 4. What community topics concern you that relate to this board / commission / committee? Why do you want to become a member? Working in healthcare through the pandemic response has shown me how vitally important it is to have a community that is integrated and connected. I care deeply about the City of Springfield and the justice and welfare issues it faces. Safety and stewardship of appropriate resources as well as transparency and accountability are important aspects that I believe in, and I would like to increase my impact in serving my community through participation in the Police Advisory Committee. Most boards / commissions / committees meet monthly. Subcommittees may meet more frequently. Meetings generally last one and one-half hours. It is highly recommended you attend a meeting before submitting the application. Please read the news release for this position which contains the normal dates and times for these meetings and can be found at hgps://www.sprinp-field-or.gov/city/newsroom/. Are you available to attend meetings on the dates listed for this committee? GYeso No I certify the information in this application and attachments are true and complete to the best of my knowledge. I understand that false or misleading statements or missing information is cause for rejection of application, removal of name from eligible list, or dismissal from the position. I hereby waive my rights to claims or damages against any employer and the City of Springfield, its officers, agents, and employees, in regard to this exchange of information. I hereby authorize to permit the City of Springfield and/or the Springfield Police Department to review my background information and if required my DMV records. I have reviewed the Advisory and meet the minimum requirements to serve/volunteer in the desired position. I also authorize to permit any materials listed above to be copied and retained by the City of Springfield. I authorize the use of my photograph. I will defend, indemnify and hold harmless the City of Springfield, its officers, employees, and agents from and against all liability or loss and against any and all claims, actions, causes of actions, proceedings or appeals based upon or arising out of or arising from or in connection with my conduct or performance as a volunteer with the City of Springfield including but not limited damage or injury to persons or property and including without limitation attorney fees and expenses; except for losses, claims or actions resulting from the sole negligence of the City of Springfield. Applicant 1/02/2021 For more information please call the City Manager's Office 541.726.3700 Return this application to the City Manager's Office, 225 Fifth Street, Springfield Oregon 97477 Printed on Recycled Paper ATTACHMENT 9, Page 2 of 2 SPRINGFIELD Application for a City of Springfield Citizen Advisory Board/Commission/Committee WOREGON City Manager's Office • 225 Fifth Street • Springfield, OR 97477 PLEASE NOTE: • When possible, council will not appoint people currently serving on another governing body to the Planning Commission or Budget Committee. • When appointing people to any of the other city boards, commissions or committees, the Council shall take into account whether that person is being reappointed for a subsequent term, is currently serving on another governing body or currently appointed to another city board, commission or committee. • When possible, the Council will appoint people to serve on one City board, commission or committee only. Board / Commission / Committee apply' for: 0,, 4&u "Ou,"Swn :,i (� (A separate dpplicatioemust Name: Home address: Mailing address: Day Ema Preferred Form of Contact: be completed for each board / commission / committee) iii Do you live within the Springfield city limits? 10 Yes No 7 Ward number (City residents only): Are you a Springfield property owner? Are you a Springfield business owner? Are you a registered voter? Occupation: Business address: n A Yes Yes Yes Z E If yes, how long? LH If no, do you live inside Springfield's Urban Growth Boundary? ® Yes F No — Place of employment/School: Are you currently serving on nany other boapt committee, or commission? If so, please list them here: jL (� vL—t How did you hear about the above vacancy? ❑ Newspaper ad ❑ Newspaper article ❑ Radio/TV ❑ Mail notice Word of mouth F-1 Board/Commission/Committee member ® Internet For more information please call the City Manager's Office 541.726.3700 Return this application to the City Manager's Office, 225 Fifth Street, Springfield Oregon 97477 (Over, please) ATTACHMENT 10, Page 1 of 2 Printed on Recycled Paper i RINGFIELD OREGON 9CT 181M Application for a City of Springfield Citizen Advisory Board/Commission/Committee Please print or type: 1. What experiences / training / qualifications do you have for this particujlar board / commission / commi}tee? G—CJC- 0 �I r�1�c� h S 1� C ►� c �r^ P i/ d Y» rll '5g: i .,�) f .� te( 6 h2 -t^ � v (,- u� �c,v�d' i Y""" I f _ ssv c c C*i o wN �{� � e -it � �- 2. What specific contribution do you hope to mak ? `) ULkA t Gz. wit LL, U*_t� 3. Briefly describe your involvement in relevant community groups and activities. (Lack of previous involvement will not necessarily disqualify you from consideration.) ; .e�, bt.Ae- C&V 11� r �'�G�tJ�. 4,-,6+ beer .ACJ i�� SOC )���� e(J ��t.=2-F' `1 �'/t�U- �'� ` lig c 1 �r-c cAJ �,, Q.h w`ct-o4-vw"i t`S ` 4. What community topics concern you that relate to thi's btfard / commission/,, cA9mmittee? Why do you want to become a member? Ci w. V -I;.�� C. a L Gaut l� 0-C kA -A' `f /(,I - K." -Gti.@. l.t% AX CL 4', A,,,— U c &1,9s &'iZPtCVL-• 2�`- Lir ct �v 7`E 61 5 z e `Fk, r1 tib CoI.0 JJ _ I,-1 d t,%i Lc4 `i (2,w-e�-� �'v (.�'"4. -�` , ` �- �-21 cR ntk At Ctlyx A L' I'J cl.�� \UVJ C�/l k L oc�f6 c�16 5. Most boards ommissions / committees meet monthly. Subcommittees may meet more frequently. Meetings generally last one 0 and one-half hours. It is highly recommended you attend a meeting before submitting the application. Please read the news release for this position which contains the normal dates and times for these meetings and can be found at ht; F-.s://www.si)rin-,field-or. ov/city/newsroom/. Are you available to attend meetings on the dates listed for this committee? ® Yeso No Comments: _ CL V` 0 % ;'d,°�— `C. h J l D W) +k IY.� C'_ 1't. C k C• VN w L kx Lt, --t- k-� VL, -1 t v \ 1 1k_kk 'tUi e (L, ' I certify the information in this application and nttachfments are true and complete to the best of my knowledge. I understand that false or misleading statements or missing information is cause for rejection of application, removal of name from eligible list, or dismissal from the position. I hereby waive my rights to claims or damages against any employer and the City of Springfield, its officers, agents, and employees, in regard to this exchange of information. I hereby authorize to permit the City of Springfield and/or the Springfield Police Department to review my background information and if required my DMV records. I have reviewed the Advisory and meet the minimum requirements to serve/volunteer in the desired position. I also authorize to permit any materials listed above to be copied and retained by the City of Springfield. I authorize the use of my photograph. I will defend, indemnify and hold harmless the City of Springfield, its officers, employees, and agents from and against all liability or loss and against any and all claims, actions, causes of actions, proceedings or appeals based upon or arising out of or arising from or in connection with my conduct or performance as a volunteer with the City of Springfield including but not limited damage or injury to persons or property and including without limitation attorney fees and expenses; except for losses, claims or actions resulting from the sole negligence of the City of Springfield. Applicant Signature Date: For more information please call the City Manager's Office 541.726.3700 Return this application to the City Manager's Office, 225 Fifth Street, Springfield Oregon 97477 Printed on Recycled Paper ATTACHMENT 10, Page 2 of 2 SPRINGFIELD OREGON Application for a City of Springfield OCT is up Citizen Advisory Board/Commission/Committee City Manager's Office • 225 Fifth Street • Springfield, OR 97477 PLEASE NOTE: • When possible, council will not appoint people currently serving on another governing body to the Planning Commission or Budget Committee. • When appointing people to any of the other city boards, commissions or committees, the Council shall take into account whether that person is being reappointed for a subsequent term, is currently serving on another governing body or currently appointed to another city board, commission or committee. • When possible, the Council will appoint people to serve on one City board, commission or committee only. Board / Commission / Committee applying for: Springfield Police Advisory Committee (A separate application must be completed for each board / commission / committee) Name: Home address: P Gosa-Lewis First Middle Initial Last Street City Zip Mailing address: Street City Zip Day Phone: Evening phone: Email Address: Preferred Form of Contact: Email Do you live within the Springfield city limits? Ward number (City residents only): El Yes (� ® No 2 Are you a Springfield property owner? Yes In/ No Are you a Springfield business owner? Yes ✓ No Are you a registered voter? Yes H No If yes, how long?, 3+ Years If no, do you live inside Springfield's Urban Growth Boundary? ❑ Yes ® No Occupation:. Higher Education Admistrator _ Place of employment/School: University of Oregon of Business address: 1585 E 13th Ave, Eugene, OR 97403 Education: Bachelors - Political Science / Masters - Corporate Communications Are you currently serving on any other board, committee, or commission? If so, please list them here: Lane Regional Air Protection Agency - Citizen Budget Committee How did you hear about the above vacancy? ❑ Newspaper ad ❑ Newspaper article ❑ Radio/TV ❑ Mail notice ❑ Word of mouth F-4 Board/Commission/Committee member 0 Internet (Over, please) For more information please call the City Manager's Office 541.726.3700 Return this application to the City Manager's Office, 225 Fifth Street, Springfield Oregon 97477 Printed on Recycled Paper ATTACHMENT 11, Page 1 of 2 SPRINGFIELD Application for a City of Springfield Citizen Advisory Board/Commission/Committee .OREGON Please print or type: 1. What experiences / training / qualifications do you have for this particular board / commission / committee? My family moved throughout the south frequently as my father was a non-profit contractor on military installations. This afforded me an opportunity to view LEDs and their relationships with their communities in nearly a dozen low-income communities. Additionally, I worked as a security guard throughout undergrad & grad school to pay for my education. Through this position I learned a tremendous amount about LEO structure. Additionally, I minored in criminal justice. 2. What specific contribution do you hope to make? I hope to bridge the gap between our local policing and the citizens of Springfield's lower-income & more diverse areas. Having been here for 3 years I have seen the drastic shift that our local LEO is seeking to make. However, I believe more can be done to connect with the citizenry in a way that makes those efforts seem more genuine. I would work to connect in a way that was accountable for the past while recognizing the opportunity for growth and improvement. Briefly describe your involvement in relevant community groups and activities. (Lack of previous involvement will not necessarily disqualify you from consideration.) My position at UO affords me with the opportunity to work closely with LEOs representing UOPD & EPD in an effort to resolve community issues related to our students. Additionally, I volunteer as a member of the following groups/committees at UO: Veteran's Advisory Committee, First Generation Student Working Group, Campus Planning Committee. Additionally, I collaborate frequently with our Black Cultural Center and advise several Culturally -Based student orgs. 4. What community topics concern you that relate to this board / commission / committee? Why do you want to become a member? Community policing and relationship building. Additionally, I believe that folks in my age group (young professional, pre -family) need to become more civic minded in order to support the work of our local government. 5. Most boards / commissions / committees meet monthly. Subcommittees may meet more frequently. Meetings generally last one and one-half hours. It is highly recommended you attend a meeting before submitting the application. Please read the news release for this position which contains the normal dates and times for these meetings and can be found at littgs://www.sRringfield-or.gov/city/newsroom/. Are you available to attend meetings on the dates listed for this committee? kvYeso No Comments: I certify the information in this application and attachments are true and complete to the best of my knowledge. I understand that false or misleading statements or missing information is cause for rejection of application, removal of name from eligible list, or dismissal from the position. I hereby waive my rights to claims or damages against any employer and the City of Springfield, its officers, agents, and employees, in regard to this exchange of information. I hereby authorize to permit the City of Springfield and/or the Springfield Police Department to review my background information and if required my DMV records. I have reviewed the Advisory and meet the minimum requirements to serve/volunteer in the desired position. I also authorize to permit any materials listed above to be copied and retained by the City of Springfield. I authorize the use of my photograph. I will defend, indemnify and hold harmless the City of Springfield, its officers, employees, and agents from and against all liability or loss and against any and all claims, actions, causes of actions, proceedings or appeals based upon or arising out of or arising from or in connection with my conduct or performance as a volunteer with the City of Springfield including but not limited damage or injury to persons or property and including without limitation attorney fees and expenses; except for losses, claims or actions resulting from the sole negligence of the City of Springfield. Applicant Signature:annomm- Date: 10/17/2021 For more information please call the City Manager's Office 541.726.3700 Return this application to the City Manager's Office, 225 Fifth Street, Springfield Oregon 97477 Printed on Recycled Paper ATTACHMENT 11, Page 2 of 2 CURRENT SPAC ROSTER First Name Last Name Membership Address First term Second term Expiration SPAC-Council Liaison Officer Joe Pishioneri Councilor Representative 1/1/2017 Brittney de Alicante Cultural Minority Community 1/1/2021 12/31/2025 Co -liaison (11/4/21) Barry Lind Faith Community 6/1/2019 5/31/2023 Chair (Feb 2021 -Dec 2022) Michael Bean Local Business 7/1/2014 12/1/2018 11/30/2022 VACANT I Neighborhood At -Large VACANT Neighborhood At -Large Teresa (Terri) Dillon Neighborhood At -Large 12/1/2018 11/30/2022 Co -liaison (11/4/21) Vice Chair (Aug 21 -Dec 22) VACANT Neighborhood At -Large Jenna McCulley School District 19 10/3/2019 Eric Adams Willamalane 12/5/2019 ATTACHMENT 12, Page 1 of 1