Community Involvement Committee Application

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The purpose of this form is to obtain information for use in making appointments to the Multnomah County Community Involvement Committee. Please note that information provided in this document is public information - personal information will be held in confidence as allowed by law.

If you have questions or would like to connect with staff in the Office of Community Involvement, please contact us at 503-988-3450 or send an email to
Applications must be received no later than Friday, March 31st 2023 at 11:59pm.
About You

If applicable

If Applicable
Volunteer History & Interest

Please list them here, including the name of the group, the year you were appointed, and the year your term ended.

Eg. If you are an employee or a board member for an organization that receives county funding and/or has contracts with the County. (Conflicts do not impact your eligibility to serve on the committee, but should be disclosed to ensure compliance with state ethics laws.)

You may provide a written response or submit a resume. If you wish to submit a formatted resume, you may attach it below

Optional Questions
The following questions are optional and are used by the Office of Community Involvement to track the effectiveness of our outreach efforts.

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