Council Member Application

Council Member Application

Independence. Advocacy.
Productivity. Inclusion.




    YesNo


    MaleFemaleNonbinaryPrefer to Self-DescribePrefer Not to Say


    AsianBlack or African AmericanHispanic or LatinoNative American, American Indian, or Alaska NativeNative Hawaiian or Other Pacific IslanderWhite or CaucasianOther or Prefer to Self-Describe


    EmployedSelf-EmployedNot EmployedOther or Prefer to Describe


    YesNo







    YesNoOther or Prefer to Describe






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