Are you a Registered Voter:

         Yes No

Are you a Lobbyist:

         Yes No

Are you an Elected Official:

         Yes    Please Explain    No 
 

Race:

African-American
American Indian/Alaskan Native
Asian
Caucasian
Hispanic/Latino
Native Hawaiian
Two or more races
 

What are your areas of interest/background for appointment: 

AIDS                          
Arts
Children's Issues
Civil/Human Rights
Construction
Discrimination
Domestic Violence/Family Issues
Drug and Alcohol Prevention
Economic Development
Education  
Elderly
Environment
Ethics
Financial Matters                                               
Health/Medical Field
Historical Society
Housing
Human Services                  
Judicial Issues                           
Law Enforcement                           
Mental Health                           
Minority Rights
None
Prison Issues                           
Public Relations
Public Safety
Real Estate
Small Business                                                      
Social Services                                   
Technology
Urban Issues
Veteran's Affairs
Victim's Rights
Women's Rights
Workforce Development
Other (please specify)     

Please upload your current resume.   

Please note that your submission is not complete without a resume. 
You may also email your resume to Christa Allard.