Community Benefits Advisory Council - Ad Hoc Member Application
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Residence Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Occupation
Have you previously served on any other City boards/committees?
Yes
No
If yes, please specify which boards/committees.
If yes, please specify how long you served on the board(s)/committee(s).
Why are you interested in serving as an ad hoc member of the CBAC?
What specific skills and experience do you have that would make you a good choice as an ad hoc member of the CBAC?
Please provide any additional information that you think will be important to know for selection of ad hoc members of the CBAC.
Please upload a cover letter of interest and a resume. Alternatively, you may drop off your cover letter and resume to City Hall.
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