Community Budget Advisory Committee (CBAC) Application Form

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Thank you for completing this CBAC application. Please note that the 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, feel free to call us at 503-988-3450 or send an email to community.involvement@multco.us.

About You

First Name

Last Name

Pronouns

Pronoun Other

Phone

Employer

Occupation

Residence Street Address

Residence City

Residence State

Residence Zip

Volunteer History and Interest

Which Budget Advisory Committee are you interested in joining?

First Choice

Second Choice

When are you able to meet?

Able to Meet Other:

Please tell us why you are interested in joining a Budget Advisory Committee

(About 500 words or less)

Please describe any past or current community involvement, including volunteer, committee, and board experience. Optional: please include any experience reviewing budgets

Please state any potential conflicts of interest you may have related to any County department, if applicable.

Ex. If you are an employee or a board member for an organization that receives county funding and/or has contracts with the County. Note that county employees are not eligible to serve on Budget Advisory Committees.

Please provide us with a summary of your work and volunteer experience

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

Optional File Attachment

Is there anything else you'd like us to know?

How did you find out about this opportunity?

Sign up for the Office of Community Involvement email list to receive updates about new volunteer opportunities on advisory boards & committees

Yes, please sign me up!

Optional Questions

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

Date of Birth

Your Gender

Gender Other:

Your Race/Ethnicity

Race/Ethnicity Other:

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Contact Information