Community Advisory Council Application form

Community Advisory Council Application form

Personal Information

Full Name*

Address*

including city and zip code

Phone Number*

Phone

Email Address*

Council Ward or City Council Representative (if known)

Police District (if known)

Professional Background

Current Employer*

Position/Title*

Years at Current Job*

Community Engagement

List of Organizations Affiliated With*

e.g., non-profits, boards, volunteer groups (Top Three)

Roles and Responsibilities in these Organizations*

Duration of Each Commitment*

Understanding and Commitment

Outline your motivation for joining the CAC.*

Confirm availability for CAC meetings and related activities.

Yes

No

Estimate the number of hours per week you are able to commit to CAC activities.*

On average we estimate a 2-3 hour weekly commitment

Skills and Experience

Select areas of expertise relevant to the CAC*

Policy Analysis

Community Outreach

Law Enforcement

Legal

Other

None

Other

Describe any previous experience relevant to the CAC’s work.*

Referral Information

How Did You Hear About Application Process

I am a current CAC Member

From CAC Member

From Other Civic Leader

From Organization

Saw Flyer

Other

Other (Specify)

Name of Individual or Organization hat Referred You

Document Upload

Upload Documents

A résumé/CV if available
Any additional documents (e.g., letters of recommendation, certificates) that you believe support your application.

Drag and drop files here or

Send me a copy of my responses

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