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STAFF REPORT Meeting: City Council - May 18 2021 Agenda Heading: NEW BUSINESS Staff Contact: Michelle Radcliffe, City Clerk Department: City Clerk
Title:
Consider and Appoint Members to the 2021-2022 Monte Sereno Youth Commission
Recommendation(s): Staff recommends that the City Council consider applications for the 2021-2022 Monte Sereno Youth Commission and appoint the five applicants to the Youth Commission. Background Information: The Youth Commission ordinance calls for appointments of Youth Commissioner annually and allows for up to fifteen (15) Youth Commissioners. Each member of the City Council can appoint one member of the Youth Commission. The remaining ten appointments are at-large appointments. This year, the City received applications from the following five Monte Sereno youth:
• Ilaria Costello • Jessica Guardino* • Kavya Narayan* • Savannah Lin* • Sahil Varma
We have the capacity to appoint ten more applicants if the City Council wishes to extend the deadline due to COVID-19. The asterisk (*) denotes applicants who served on the 2020-2021 Youth Commission. The appointed applicants will be required to fill out and sign the Monte Sereno Youth Volunteer Waiver and Release of Liability form. Fiscal Impact: There are no unbudgeted fiscal impacts with this agenda item. Public Noticing: The City Council's agenda was posted at City Hall and the agenda and this report appear on the City's website.
Attachments: Youth Commission Applications Monte Sereno Youth Volunteer Waiver and Release of Liability Form
City of Monte Sereno MAY1 1 pmYouth Commission Application
2021-2022Submittal Deadline: 5:00 p.m., May 11, 2021
Submit to: Office of the City Clerk18041 Saratoga—Los Gatos Road
Monte Sereno, CA95030Telephone: 408-498-5281 | Fax: 408-395-7653 ] Email:[email protected]
Last Name: G“ardl"° First Name: 3855303
Address: 16060 Rose Avenue, Monte Sereno
669-262-6294Home Phone: Work Phone: 669-262-6294
Emai|: [email protected]
Length of Residency in Monte Sereno: 10 years
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Monte Sereno Youth Commission Member 2018-2021 (3 Terms)
Intern atAssemb1ymemberLow’s office Intern 2020.202}. ...-0;. .. '- - I -v. r,-
Valley Christian High School nth (Junior)
Bysigning below, you certify that you are livingwithin the City limits of Monte Sereno and allof theabove is true and correct. In addition, you certify that you are aware that should you, at any timeduring your term on the Youth Commission, move out of the City, you no longer meet the residencyrequirement to sit on the Monte Sereno Youth Commission.
Date: May 11’2021 Signature:
Youth Commission Application 2021-2022 Page 1
1. Why do you want to be on the Youth Commission?
I want to find ways to help my community and to represent the youth of MonteSereno. I also want to learn more about how local government works, and inmy last few years on the Youth Commission,I enjoyed my experiences.
2. Tell us about your skills,experience or interests that you feel would assist us in considering yourapplication.
I have been on the Monte Sereno Youth Commission since I was in Eighth Grade (2018),and I am currently interning at the office ofAssemblymember Evan Low. My interestsinclude history, reading, and writing.
3. Please list your current commitments.
I am currently a student at Valley Christian High School, and I am on the Cross Countryand Track&Field teams. I also am doing an internship with Assemblymember Low.
4. How many weekday hours per month would you be able to commit to the Youth Commission?1-3 hours
7-9 hours10+ hoursOther
5. What do you see are important issues for the youth of Monte Sereno?
Important issues for the youth of Monte Sereno are learning how to be involved in localgovernment, contributing to social justice, and improving our community.
6. What, if any, career interests do you have currently?
I am currently interested in a career in Law, I would like to go to law school after Igraduate high school and college. In my free time, I like to research the constitution andhistorical Supreme Court decisions.
Youth Commission Application 2021-2022 Page 2
City of Monte SerenoYouth CommissionApplication
2021-2022$ui9mittai Deadline: 5:00 p..m., May 1
Submitto: Officeof the City Clerk18041 Saratoga-Los Gatos Road
Monte Sereno, CA95030
M/a\Yi Li?,ii?i
1, 2021
Telephone: 408-498-5281IFax:408—395—7653IEmail:citycierkctbcityofmontesereno.org
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Last Name: 4[ZQJI(/Q ,L
Address: (_/_ /l./\/ /Md/HIEJHomePhone: L/M 3750
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Work Phone: (22? «Qé/ QQp 7
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Email: ‘($4,313. a)§_’}{/[U031/1/\/i.‘( in»
InLength of Residency in Monte Sereno: y,(V\ S
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Bysigning below, you certifythat you are livingwithinthe City limitsof Monte Serena and all of theabove is true and correct. Inaddition,you certify that you are aware thatshould you, at any timeduring your term on the YouthCommission, move out of the City, you nrequirement to sit on the Monte Sereno Youth Commission.
Date: H/W23’;3! Signature: /V
Youth Commission Application 2021-2022
3 longer meet the residency
Page 1
1. Whydo you want to be on the YouthCommlsslon?
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2. Tellus about your skills,experience or Interests that you feel would -assist us In considering yourappllcatlon.
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3. Pleaselistyour current commltments.
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4. How many weekday hours per month would you be able to commlt to the Youth Commission?O1-3hours®4-6 hours0 7-9 hours010+hoursOother
5. What do you see are Important issues for the youth of Monte Sereno‘?
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534454'/MVML/« S k’//5'6. What, Ifany, career lnterests do you have currently?
Youth CommlsslonApplicatlon 2021-2022 Page 2
City of Monte Sereno
Youth Commission Application i MAY1 ll‘393:
2021-20221
g -
Submittal Deadline: 5:00 p.m., May 11, 2021Submit to: Office of the City Clerk18041 Saratoga-Los Gatos Road
Monte Sereno, CA95030
Telephone: 408-498-5281 | Fax: 408-395-7653 IEmail:[email protected]
Narayan KavyaLast Name: First Name:
16090 Ridgecrest Avenue, Monte Sereno CA 95030Address:
(408)-260-1442 (408)-442-9808Home Phone: Work Phone:
Ema“:thekavyanarayan@gmai|.com
11Length of Residency in Monte Sereno:
years
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Youth Commissioner Member ofthe Youth May 2018 - PresentCommission
....»o;. .. ‘o . 0 «-. n.-
Donum Visi VP of Outreac April2019 - Ongoing
Sheroes Tech Founder/CEO June 2017 - Ongoing
Saratoga High School 12th Grade
Bysigning below, you certify that you are livingwithin the City limits of Monte Sereno and all of theabove is true and correct. In addition, you certify that you are aware that should you, at any timeduring your term on the Youth Commission, move out of the City, you no longer meet the residencyrequirement to sit on the Monte Sereno Youth Commission.
Date:5/10/2021
Signature: W
Youth Commission Application 2021-2022 Page 1
1. Why do you want to be on the Youth Commission?
Iwant to be on the Youth Commission because I love our Monte Sereno communityand would love to help do my part in making it even better than it already is through theYouth Commission. I have a passion for leaving things better than I found them andwant to help make my mark on Monte Sereno because it is a place I hold so near anddear to my heart.
2. Tell us about your skills,experience or interests that you feel would assist us in considering yourapplication.
I currently run a nonprofit where I teach paid coding classes for girls aged 10-18 anddonate the funds collected to homeless shelters and charities in San Fransisco. Thishas taught me a lot of responsibility, and has given me the ability to think on my feet,both characteristics that are highly applicable to the Youth Commission. Moreover, Ihave also been a part of the Youth Commission for 4 years now, and feel that my priorexperience willgreatly assist the Youth Commission in the future.
3. Please list your current commitments.My current commitments include a weekly dance class, my non-profit that I run calledSheroes Tech where I teach girls computer programming, and being the VP of outreachfor the non-profit, Donum Visi. In addition, I also work as a private tutor outside ofschool where I prepare kids for their APCS class in high school and am also a part ofmy school's jazz band.
4. How many weekday hours per month would you be able to commit to the Youth Commission?D1-3hoursI:l4—6hoursI:l7—9hours[:l10+hoursBother
5. What do you see are important issues for the youth of Monte Sereno?The biggest issue I see the youth of Monte Sereno as having is that we do not connectenough. Despite living in a world full of technology, the youth of Monte Sereno does notconnect much and therefore is not able to make as big of an impact on the city. I feellike as a young community we could connect more, not only through the YouthCommission but also through social media as well which would help us make a biggerpositive impact on our community.
6. What, if any, career interests do you have currently?Currently, I am interested in pursuing a career in tech, psychology, or law.
Youth Commission Application 20212022 Page 2
City of Monte Sereno ;Youth Commission Application WW3 <9Wl
\
2021-2022 j4
Submittal Deadline: 5:00 p.m., May 11, 2021Submit to: Office of the City Clerk18041 Saratoga—Los Gatos Road
Monte Sereno, CA95030
Telephone: 408-498-5281 I Fax: 408-395-7653 IEmail:[email protected]
Last Name: Lin First Name: Savannah
Address: 18740 Austin Way, Monte Sereno
Home Phone: 4!!§_32§2§75 Work Phone: 4085948090
Email: [email protected]
Length of Residency in Monte Sereno: 11
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Monte Serene YouthComission Youth Cornissioner 2018-19, 2019-20,2020-21
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Monte Sereno Youth Comission Youth Comissioner‘
2018-19, 2019-20, 2020-21
BxnpathyOrganization President 202 0- current
Attended: Satatoga Elementary, Redwood Middle School _ 12
Attending: Saraioga High School
By signing below, you certify that you are livingwithin the City limitsof Monte Sereno and allof theabove is true and correct. In addition, you certify that you are aware that should you, at any timeduring your term on the Youth Commission, move out of the City, you no longer meet the residencyrequirement to sit on the Monte Sereno Youth Commission.
Date: 5/3/2021 Signature:
Youth Commission Application 2021-2022 Page 1
1. Why do you want to be on the YouthCommission?
I would like to join the YouthCommission becauseI want to not only serve as an advisory to the committee, but also represent and be a voice to all theyouth of Monte Sereno. From the past three years I sewed, I gained many experiences and learned how to communicate to my fellow peers when talkingabout an upcoming charityevent and how we are going to successfullyplan it. Because of all the insightsand experiences I learned, I am willing and want
to learn more about communication skills and being a helpfulhand to the community as these skills are helpful factors to my future and my goals to pursueLaw and Medicine.Because of covid this year, i.heyouthcommission was not able to do many activities that I loved to do such u Christmas parade, thebarbecue, and ice cream social.Wit.hmy experience and leadership,I want to create more activities and do more charitableevents to make up for theexperience lost last year.
2. Tell us about your skills,experience or interests that you feel would assist us In considering your
application. I have an interest in debatingand politics.I havewon many school debates aboutsocial sciences and history,andpolitics in Englishclassessince middleschool.ihavealso been a studentrepresentative in my elementaryand middleschoolyears. In additionto this, i was one of the fewchosenstudents to representSaratoga HighSchool at a discussionwitha memberof the School Boardtodescribeand depictwhatthe teens in Saratoga High School thoughtsare abouttheonlineschooland difficultiestheyfaceddue to the Coronavirus Pandemic.DuringQuarantine, my friendand i created a nonprofitcalled Epathywherewe soldhoodieswiththe words“value”embroideredon the front to encourage peoplewho may be stressedor lonelyduringCOViD season that they are stillvalued inthisworld.We donatedall the money towards ChangeTo Mind,an organization
3_ Please list your Current cQmm|tment5_ that helpspeoplestrugglingwithmentalhealth. I am also part of the linkcrew, aprogram that focuseson creating events fortransfer studentsand underclassmen,
golf’art’ and violin and am an editorformy school'syearbook.Thesetwo events I commit myselftoshowcasesmy leadershipand my willingnessto helpothersand planevents. i amalso an optometristassistantand my job there is to do patient’spre tests such asmeasure prescription, eye pressure, test peripheralvision,and takephotosof thebackof the eyeballand the veins. in additionto this, i manage patient's insurance,organize contact and glassessupply,and scheduleappointments.Myworkas anassistanthas increasedmy mobilityformultitasking,efficiency,andcommunication which i believeare crucialelements to be a youth commission,
4. How many weekday hours per month would you be able to commit to the Youth Commission?Ell-3hoursEI4—6hoursl_'Zl7-9hoursE]10+hoursl-_'lOther
5. What do you see are important issues for the youth of Monte Serene?AlthoughMonte Sereno is alreadya very beautifuland sanitaryplaceto live in, there are stillissues thati would liketo addressifl am given a chance to be part oftheYouthCommission again. Even thoughi attendSaraloga HighSchool, i am alsoaware of our sister school,Los Gatos HighSchool. Ihavemany friendsattendingLG HighSchool thathave told me about the many occurrences about teens and the use of alcohol and drugs. Due to alcoholand drugs,studentsareliterallymoving in an intoxicateddaze.Asan effect, it causes drunkdriving,poor schoolgradesandviolentbehavior,which I think is an issue that needs to becorrectednow. Also,due to thiscoronaviruspandemicthat is causingschoolsworldwideto shutdown, there havebeen many issues broughtup concerning thedifficultiesusing online school.My friendsin Los Gates and Saratoga HighSchoolhavetold me theirconcerns about how unorganized online school is and howconfusingit is to navigate through their alreadybusyworkload.Cheatinghasbeen a big problemfor the students in Los Gates and Saratoga as the temptation to
cheat has increasedbecauseeveryone was at home taking tests for the majority of the year. Asa youthcommissioner,i would like to advocate and reinforceto
schoolsaround Monte Serene that integrityis stillimportant.
6. What, if any, career interests do you have currently?
nursing, architecture, business
Youth Commission Application 2021-2022 ' Page 2
Docusign Envelope ID: EB980204-A764-45G08653-2485F7B677BC
City of Monte SerenoYouth Commission Application
2021-2022Submittal Deadline: 5:00 p.m., May 11, 2021
Submit to: Office of the City Clerk18041 Saratoga-Los Gatos Road
Monte Sereno, CA95030Te|ephone:408-498-5281 | Fax: 408-395-7653 | Email:cityclerk@cityofmonteserenoorg
Varma SahilLast Name: First Name:
15091 Becky LaneAddress:
4089415838 4089415833Home Phone: Work Phone:
25sahi|[email protected]
3 yearsEmail:
Length of Residency in Monte Sereno:
20-21 Term
tu‘*I*u"4; .u‘;-
Harker School 9
By signing below, you certify that you are living within the City limits of Monte Sereno and all of the
above is true and correct. In addition, you certify that you are aware that should you, at any time
during your term on the Youth Commission, move out of the City, you no longer meet the residency
requirement to sit on the Monte Sereno Youth Commission.
Douuslnnedby:
4/7/2021 54“ ""““‘Date: Signature: 67DA1J=9oF7co4ar=
Youth Commission Application 2021-2022 Page 1
Docuslgn Envelope lD:EB98D2C4-A764-45CC-8653-2485F7B677BC
1. Why do you want to be on the Youth Commission?
I want to be on the youth commision for several reasons. First, lieel that I can make atrue impact and change some of the ways things work in our city. With one year ofexperience, I already know some of the things we do as part of the youth commision,and i feel proud just to be a part of doing such great deeds for our city.
2. Tell us about your skills,experience or interests that you feel would assist us in considering yourapplication.
Some skills I have are leadership, dedication, and communication. Ifeel that I can trulyhelp by being able to lead in some of the project we work on, and possibly take on aleadership role which could truly help. After taking a backseat in my first year as part ofthe youth commision, l now know how things operate and feel i can be a truecontributor in my next four years.
3. Please listyour current commitments.Sports — 3:00 PM - 6:00 PM every weekday
4. How many weekday hours per month would you be able to commit to the Youth Commission?Q1-3hours()4-6 hours7-9 hours10+ hoursQother
5. What do you see are important issues for the youth of Monte Sereno?One day my parents were scrolling through Next Door, and they came across a ladywho was asking for blankets for dogs at a shelter. Itturns out that during these times,what shelters really need most are blankets and sheets for dogs. This came as a shockto me, as l truly did not know they had such a need. I think we should host a blanketdrive for these shelters, and I also likedthe idea of funding a scholarship program forthose in need.
6. What, if any, career interests do you have currently?As of now, Ido not have any major career interests. However, there are a few subjectswhich I find fascinating and would enjoy pursuing a career in. Those subjects arebusiness, biology, and law.
Youth Commission Application 2021-2022 Page 2
OAK #4827-3493-4715 v1
CITY OF MONTE SERENO YOUTH VOLUNTEER
WAIVER AND RELEASE OF LIABILITY FORM
In consideration of being allowed to participate in a City of Monte Sereno commission or volunteer program, I acknowledge and agree
that:
1. My child (or I) is volunteering my services for the City of Monte Sereno on a voluntary basis without anticipation of payment of
any kind.
2. I acknowledge that the City of Monte Sereno may extend its workman's compensation coverage to authorized volunteers and I agree
to accept that coverage.
3. My child (or I) will perform tasks that are within his/her (or my) physical capability to the best of his/her (or my) ability, and my
child (or I) will not undertake tasks that are beyond his/her (or my) ability. I certify to the best of my knowledge, that my child's (or
my) current physical condition is satisfactory for participation in this activity, and that he/she (or I) am free of any health problem that
would affect his/her (or my) ability to participate.
4. I agree to inform my child (or I agree) not to use any equipment or tools with which my child (or I) am unfamiliar or do not know
how to operate safely.
5. I agree to inform my child (or I agree) to perform only those tasks assigned, observe all safety rules, and use care in the
performance of assignments.
6. I agree that my child (or I) may be photographed, videotaped or recorded and that said photographs, videos or recordings may be
used for promotional materials by the City. I understand that my child (or I) will not receive compensation for the use of these and that
my child (or I) will not be given notice of when these materials are used.
7. I acknowledge that the City will defend and indemnify my child (or myself) in any claim or action arising from my child's (or my)
acts that are within the scope of my child's (or my) duties as a volunteer, but only to the extent that such indemnification or defense is
expressly required by law. I further acknowledge that the City is not required to indemnify my child (or me) against a claim for
punitive damages except as authorized by the City Council pursuant to Government Code Section 825 (b). I agree, however, to defend
and indemnify the City in any claim or action arising from my child's (or my) acts that are outside the scope of my child's (or my)
volunteer duties.
8. In the event that my child (or I) use a personal vehicle in order to participate in any City-related commission or volunteer activity, I
agree to maintain my own automobile liability insurance for bodily injury and property damage, which shall be the primary insurance
coverage, and that any insurance or self-insurance maintained by the City shall be considered excess of such insurance and shall not
contribute with it. I hereby also grant a waiver of any right of subrogation which any such insurer may acquire against the City by
virtue of the payment of any loss.
9. I acknowledge that loss or damage to my child's (or my) personal property used while providing volunteer services may not be
reimbursable under City regulations.
10. I hereby authorize and give my consent for medical care to be given in an emergency situation to the below named child (or to me)
while volunteering.
11. THIS AGREEMENT IS BINDING ON MY HEIRS, PERSONAL REPRESENTATIVES, NEXT OF KIN, SPOUSE AND
ASSIGNS.
Volunteer's Name (print) ___________________________________________
Date of birth ____/____/____
Address __________________________________________________________
City ___________________________ Zip _______-_____ Phone # ( )_______________
Emergency Phone #'s ( )______________________/ ( )______________________
Volunteer's Signature (if participant is 18 years or older) ________________________
Date Signed ____/____/____
Parent/Legal Guardian signature required if volunteer is 17 years of age or younger.
This is to certify that as a parent/legal guardian of this volunteer, I do consent to his/her waiver and release as set forth
above. My child has my permission to volunteer. I realize that participation in this program is voluntary.
Parent/Guardian Name (print) _______________________________ Relationship______________________
Parent/Guardian Signature __________________________________________
Date Signed ____/____/____
