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) 742-4353 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 Alaska Alabama Arkansas American Samoa Arizona California Colorada Conneticut District of Colombia Delaware Florida Federated States Georgia Guam Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virgin Islands Vermont Virginia Washington Wisconsin West Virginia Wyoming	Zip
Home Phone (area code + number)
Incorporated	Unincorporated
Employer
Address
City	State Alaska Alabama Arkansas American Samoa Arizona California Colorada Conneticut District of Colombia Delaware Florida Federated States Georgia Guam Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virgin Islands Vermont Virginia Washington Wisconsin West Virginia Wyoming	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? Aging Services Advisory Council, formerly Area Agency on Aging Advisory CouncilAgricultural Review BoardBoard of Property Tax AppealsCCSD#1 Budget CommitteeCCSD#1 Riverhealth Advisory BoardCCSD#5 Budget Committee (Street Lights)Citizen Noise Advisory Committee-PDX (CNAC)Clackamas County Arts AllianceClackamas County Audit CommitteeClackamas County Budget CommitteeClackamas County Community Health CouncilClackamas County Extension & 4-H Service District Budget CommitteeClackamas County Fair BoardClackamas County Parks Advisory BoardClackamas County Vector Control District Board of TrusteesClackamas River Water District BoardCommission on Children and FamiliesCommittee For Citizen InvolvementCommunity Action BoardCompensation Board For Elected OfficialsCounty Library District Budget CommitteeDesign Review CommitteeDevelopment Agency Budget CommitteeDevelopmental Disabilities CouncilDispute Resolution Center Advisory BoardDiversity Leadership CouncilEconomic Development CommissionEmergency Medical Services CouncilEnhanced Law Enforcement District Budget CommitteeEnhanced Law Enforcement District Citizen Advisory CommitteeEstacada Library District Budget CommitteeForestry Advisory BoardGovernment Camp Revitalization District Advisory CommitteeHistoric Review BoardHospital Facility AuthorityHousing AuthorityLibrary Board of TrusteesLibrary District Advisory Committee of Clackamas CountyLocal Public Safety Coordinating CouncilMental Health & Addictions CouncilMt. Hood Economic Alliance BoardNCPRD-Budget CommitteeNCPRD-District Advisory BoardNCPRD-Milwaukie Center Community Advisory BoardPedestrian/Bikeway Advisory CommitteePlanning CommissionSolid Waste CommissionSWMACC - Budget CommitteeSWMACC - Lower Tualatin Basin Citizen Advisory CommitteeTimber Sale Advisory Committee (TSAC)Tourism Development CouncilTraffic Safety CommissionTri-City Service District Budget CommitteeWorkforce Investment Council
If you do not get appointed to this committee, would you like to receive notice of other boards and commission opening? Yes No
What are your community interests (committees, organizations, activities)? characters left
What experience or educational background might be significant to this Board or Commission? characters left
What are the reasons for your interest in this Board or Commission? characters left
List other County Boards or Commissions on which you serve or have served. characters left
Referred by (if any)