First Name *
Last Name *
District of Columbia
ZIP Code *
Home Phone *
Cell Phone *
Email Address *
School represented *
Select your preference (1 being most preferred; 2 being least preferred) for each board/commission or choose not interested.
Please do not use a number more than once (e.g. selecting 1 for every commission).
Community Service Commission
TELL US MORE ABOUT YOURSELF
Briefly discuss why you are interested in serving on a City advisory board/commission. What do you hope to gain from the experience and what do you plan to contribute? *
How would you describe yourself in ten words or less? *
Please provide any civic, co-curricular, and community activities you are involved in. *
The City is particularly interested in selecting commissioners that represent the great diversity (social, cultural, economic, etc.) of our residents. Do you bring an under-represented voice to the commission(s) for which you are applying? (optional)
DATA PRIVACY ADVISORY
All information that you supply is classified as private data except the following, which is public: name, city of residence, education and training, employment history, volunteer work, awards and honors, prior government service or experience. You are not legally required to provide the data classified as private. Otherwise, the private information that you supply is used for purposes of contacting you regarding board or commission business. Failure to provide any means of contacting you may negatively affect the City Council’s consideration of your appointment. The private information that you supply will be made available to City staff whose job assignments require access and to persons whom you authorize to have access. If you are appointed, the following private data will become public: street address, telephone or e-mail address (or both) that you designate for public contact, first and last dates of service on the public body; the existence and status of any complaints or charges against an appointee; and upon completion of an investigation of a complaint or charge against an appointee, the final investigative report is public, unless access to the data would jeopardize an active investigation.
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