COUNTY OF NUECES APPLICATION FOR APPOINTMENTTO BOARD OR COMMISSION PLEASE TYPE OR PRINT YOUR INFORMATION TO COMPLETE THE APPLICATION.

Transcription

1 COUNTY OF NUECES APPLCATON FOR APPONTMENTTO BOARD OR COMMSSON PLEASE TYPE OR PRNT YOUR NFORMATON TO COMPLETE THE APPLCATON. A RESUME MUST ACCOMPANY THE APPLCA TlON, BUT T DOES NOT SERVE AS A SUBSTTUTE FOR COMPLETON OF THS APPLCATON. CONSDERATON WLL NOT BE GVEN TO APPLCANTS WHO DO NOT HAVE A COMPLETED APPLCA TlON AT THE TME THE APPONTMENT S PLACED ON THE AGENDA. Board or Commission Applying for? Nueces Counry Emerger.cy Services Dstrict #1 Na Home Address Precinct 4 COUNTY BOARD OR COMMSSON NFORMA non Explain why you are interested in serving on this Board or Commission and what experience you ibril'\i that would assist in decision making and future actions of this Board or Commission. ' served as a volunteer firefighter for Annaville Fire Department until the year 200 when ; decided to be involved by serving as a commissioner for Nueces County ESD #1. enjoy - serving my community and this is how stay involved and give back. Have you served on any board, commission or committee in Nueces County?... YES f you answered yes, please list position and dates of service. hcurrently serve on the Nueces County ESD #1 Board since 2000 have served on the Northwest Little League baseball board Served on the NCJLS Goat Committee Member L ' NO i.

2 ..- _._--_._._-..., Do you or an immediate family member'" have any professional or financial relationship that may. present a potential conflict of interest for this board, commission or similar body? (i.e., employment, : contracts, financial investment) ~ NO 0 YES f you answered yes, please explain below. ~. ) i ~--~ , 00 you or any immediate family member'" have or have had any pending legal matters related to ',' Nueces County or any board, commission or similar ~~dy within Nueces County? J NO 0 YES, f you answered yes, please explain below ~ hereby certify that the foregoing answers are true, further certify, should be considered for appointment to a board, commission, advisory board or committee will disclose in this application whether am an employee of the governmental entity of which seek appointment, will disclose all appointments that may result in conflicting loyalties, and will disclose jf a family member is an employee of the governmental entity that seek appointment, Also should be appointed to a board, commission, advisory board or committee, and should a conflict of interest exist or develop with regard to a specific matter, will disclose the conflict of interest upon discovery and recuse myself from the deliberations and action involved. Conflicts of interest include, but are not limited to: a direct or indirect financial interest by myself or a member of my family, and other interest, which impairs my ability to participate fairly in the deliberations and actions in question, ~~ $ig ure Date / "mmediate family member definition: wife, child, spouse of c~!!~ mother,!ather, aunt, uncle, grandparen_t _ UPON COMPLETON, THE FORM MAY BE SUBMTTED BY EMAL TO THE COUNTY JUDGE BY CLCKNG THE EMAL BUTTONATTHETOPOFTHSFORM(loyd.neal@co.nueces.tx.us). YOU MAY ALSO ATTACH YOUR RESUME BEFORE SENDNG THE EMAL ALTERNATVELY, YOU MAY PRNT THE COMPLETED FORM, ATTACH RESUME AND MAL TO THE FOLLOWNG ADDRESS: 901 Leopard Street, Suite 303 Corpus Christi, Texas 78401

3 Nueces County En1ergency Service District # 1 J155] Leopard St. Corpus Christi. TX Phone;: (361124! -137~ Fax::: 1361 )242 ]502 Application for f\1enlbership as a Comnlissioner Name: Address: K vle Luckenbach Rippling Creek Circle Corpus Christi. X Home Phone # (361) \Vork Phone # Cell Phone # (361 ) Pager # Description of\\ihy you would like to be a commissioner: have been involved with the community for some time and enjoy the fire service and \vllat they do for the communitv. Job related experience that may relate to being a commissioner ofan emergency services district. Served \vith the Anna\'ille Volunteer Fire Department for years Worked on the Emerg:encv Response team for Valero

4 Nueces County Elnergency Service District # Leopard St. Corpus Chri sri. TX Phone:::: (36!) 241-! 37: Fax ;=. (36 1) :42-:::~6:: To: Nueces County Commissioner #1 Attention: Mike Pusley Re: Letter of ntent This letter is to show that Kyle Luckenbach request to remain a commissioner on the Nueces County Emergency Service District #1 board. Thank You Nueces County Emergency Services District # 1 Commissioner

5 KYle E:. r'h:ketlh2ch ;{,ppung C;t"<:k Lrel... Corpus Chos!J TO: h} Cdl-\(i (>( )28 Professional Experience V&.lcro Retining Company ifj81-.!02 Pre~ent 1. Tech V Operator A. Responsible to ensure that ;(ll movemenuj in or out of the' Refinery :ire monitocc'd B. Be familiar with pro<:etls systems operation and line-up of! product C. ~ionitor levels in tbe tank, Rates of5"oing in or out ofthe temtinal,!o,.uing ta..:o, dodes D. Start up ;tnd shut down utilization of complete equipment ',s fouqwfi 1. GS (,\utotu;.lred g41ugt'! "'pi~ m) 2. Tl metering system. 3. Otis-oil Tnnsfer in Formation System j. Pump/level/ LPG status equipment E, Perform the tt~lsfers of feed! tock "od product into lind Ollt ofthe Refinery F. Monitor gauges oft;tn~e G. Ac{'urJ.tciy g;.luge, temp, Jud water cut i.:<.nkage H. Operate the Otis!lY!item to n."viewlnd cakuble volumes.mil speu en t.m1kage, lllonitot fa-nsfet 1. Daily. periodic rounds of'wnrk Area L :{,:,;\\ '-e,lse <if 'f1e 'u..';l.ticn JHd!;le (fhltcfl{s of,ilt: :,, d i Event ofan emergency, in order to RCl'pofld,1S r~ltjir"d hy,hi.. A- LHiS of illstfument:lir B. Power failure C. Fire, explosiull, line rupture Of serious klx: H. CV<11piy';".ith;dlcompany"afety!t:flVi,m<lc''."r ' ", ",,1 ~ 1,.\. Ensure rh. t t<),stems, etpl1pment, Mld tcchni(.'i;tn~ in the rermirnillfe f ; 'it iv. r' ' 'jnuiu a cl;mpletc }/! of:.111 ;r..:tivi'ie'" p<:tfi:rmed or ;Jllu:;u.i - 'q\. t~4_-j \. 11 ~ t n " n l. '. <i,o,' \. C,llcl!l,:{1\ii

6 c:dl- % (>t12~ Fm:ul:,X, Special trainingl Ccrtiikations A. TexaA volunteer firefighter,lnd lire marsh:d certification blsic fire Fighter B. First-Second ADnu"" South Central Dinrkt Tr:.uning Academy nstructor C. Texas A&M industrial fire bri~ade instructor tra.inin~ D. ;:{eiinery terminal fue company EC\ 56 hours E. Refinery terminal fire company bazardoul maceri:a1s tech cw Hours F. Em Tecb hazardous m:.&terial technician G. Em Tech oil spill recovery tactics training H. City of Buumont fire-rescue school instructor 5 years L t;nhefsaj fire-safety lll;-orporar:ed industrial ufe brigade X. Hoard&/community A. Nucccll.;;ounty emergency,>e Vices district #1 vice pre~ijt:nt B. "\nnavilje Fire Depanrnent Honorary member 34 years C. Northwest little league basehal}", board member D. i\.nn3ville "-H dub mana.,:er E. NeJLS Goat committee member