Cedar-Riverside Recreation Centers Predesign Study - CAC Application
Please complete the form below to apply for the Cedar-Riverside Recreation Centers Predesign Study Community Advisory Committee (CAC). Applications due May 3, 2019
Full Name
*
First Name
Last Name
Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
*
Phone Number
*
-
Area Code
Phone Number
Why are you interested in serving on this CAC?
*
1-2 Sentences
What is your personal and/or professional experience working to improve the Cedar-Riverside/Seward neighborhoods?
*
1-2 Sentences
Check the box that applies to you in the Cedar-Riverside/Seward neighborhoods?
*
Live
Work
Recreate/Play
We would like to know more about you!
What is your race/ethnicity?
Hispanic, Latino, or Spanish Origin
Black or African American
White
Asian
American Indian or Alaska Native
Native Hawaiian or other Pacific Islander
If desired, provide additional information about your race, ethnicity, origin, or tribe.
What is your primary language spoken at home?
How do you identify?
Female
Male
I prefer not to specify my gender
What is your age?
Under 18
18-29
30-44
45-64
65 and over
Do you own or rent where you live?
Own
Rent
Other
Do you want to sign up for project email updates?
Yes
No
Submit
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