Citizen Involvement Applications

Citizens interested in serving as members of any of the advisory groups currently conducting recruitment are requested to complete the following application form.

For more information, call Citizen Involvement, (503) 655-8751 or email here. You may also download an application. (PDF) A Spanish version is also available.

First Name
Middle Initial
Last Name
Home Address
City
State
Zip
Home Phone (area code + number)
Incorporated Unincorporated
Employer
Address
City

State
Zip

Title
Occupation
Business Phone (area code + number)
Fax Phone (area code + number)
Cell Phone (area code + number)
Email
What Board or Commission interests you?
If you do not get appointed to this committee, would you like to receive notice of other boards and commission opening?
Yes No

If the board or commission to which you are applying requires a specific experience area, describe the experience area for which you are most qualified (architect, doctor, general citizen, etc.).

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What are your community interests (committees, organizations, activities)?

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What experience or educational background might be significant to this Board or Commission?

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What are the reasons for your interest in this Board or Commission?

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List other County Boards or Commissions on which you serve or have served.

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Referred by (if any)