Affordable Housing Advisory Working Group Member Application

Affordable Housing Advisory Working Group

Member Application
Please complete this application and attach a resume or CV. Residency or employment
within the County limits is required for membership on the Work Group.
Name*

First NameMiddle InitialLast Name
Address*

Street Address

Apt./Unit #

CityState

ZIP Code
Phone Number*
Please enter a valid phone number.
Email Address*
example@example.com
Are you an elected official?*

YesNo
Employer*
Ethnicity

Hispanic/LatinoNot Hispanic/Latino
Race (check all that apply)

WhiteBlack/African AmericanAsianAmerican Indian or Alaska NativeNative Hawaiian/Other Pacific IslanderOther
Seat Applying For (Please check one or more):*

Community Representative (e.g., Community advocate with knowledge of affordable housing issues in Wake County)Hospital Systems (e.g., Representative from local healthcare/hospital system)Hospitality Industry (e.g., Triangle area hotel & motel association)Health & Human Services (e.g., Local Health & Human Services Department)Law Enforcement (e.g., Local municipal police department or sheriff's office)NC-507 Continuum of Care (e.g., Representative of member organization of local CoC)Rental Housing & Property Management (e.g., Wake County Hospitality Alliance)Behavioral Health Systems (e.g., Representative from local behavioral health system provider)Legal Industry (e.g., Attorney licensed to practice in North Carolina)Wake County Public School System (e.g., Wake County Public School System Liaison)
Ethics Statement
Members of the Affordable Housing Advisory Working Group shall not discuss, advocate, or vote on any matter in which they have a conflict of interest or an interest which reasonably might appear to be in conflict with the concept of fairness in dealing with public business or result in a personal benefit. A conflict of interest or a potential conflict occurs if a member has a separate, private, or monetary interest, either direct or indirect, in any issue or transaction under consideration, which includes a close familial, business, or other associational relationship with an affected person, or a financial interest in the outcome of the matter.

Any member who violates these Ethics Guidelines may be subject to removal from the Working Group. If the Working Group member believes he/she has a conflict of interest, then that member should ask the Working Group to recuse him or her from participating in related processes. The Affordable Housing Advisory Working Group should then vote on the question on whether or not to recuse the member making the request.

Any Working Group member may seek the counsel of the Housing Affordability and Community Revitalization Director on questions regarding the interpretation of these Ethics Guidelines or other conflict of interest matters. The interpretation may include a recommendation on whether or not the Working Group member should excuse himself/herself from participating in related processes.
What relevant perspectives do you bring to the Working Group?*
How did you find out about this opportunity?*
Please provide a brief summary of any other relevant qualifications (skills, abilities, interests and/or experience) you bring below:*
Please upload a résumé or CV here:

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By signing below, I acknowledge that all information submitted in this application becomes a public record and will be searchable online. The County is not able to remove information from the public record once it has been posted.
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