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Important Note: We recommend you prepare your entries offline on your word processor as text only, then copy and paste in the text areas provided in the form. Formatting, highlighting, tables, etc… are lost when pasted into the format of the text areas.
Choice 1 -Select Board / Commission- Beaverton Arts Commission Beaverton Committee for Community Involvement Beaverton Committee on Aging Beaverton Urban Redevelopment Agency Board Bicycle Advisory Committee Budget Committee BURA Budget Committee Diversity Advisory Board Housing Technical Advisory Group Human Rights Advisory Commission Library Advisory Board Planning Commission Social Services Funding Committee Traffic Commission Urban Renewal Advisory Committee
Choice 2 -Select Board / Commission- Beaverton Arts Commission Beaverton Committee for Community Involvement Beaverton Committee on Aging Beaverton Urban Redevelopment Agency Board Bicycle Advisory Committee Budget Committee BURA Budget Committee Diversity Advisory Board Housing Technical Advisory Group Human Rights Advisory Commission Library Advisory Board Planning Commission Social Services Funding Committee Traffic Commission Urban Renewal Advisory Committee (optional)
If one of the boards you have selected is your first choice, indicate it at the narrative portion of the application.
First Name:
Last Name:
Nickname: (optional)
Pronoun(s) you identify with: (optional)
The City of Beaverton is committed to furthering diversity, equity and inclusion and uses demographic information to help ensure that appointments to boards and commissions represent a broad cross section of the community. Although you are not required to provide the information requested in this section, your cooperation is appreciated and will assist us in monitoring the City’s success in engaging different segments of our community.
Address:
City:
State: -Select State- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington DC West Virginia Wisconsin Wyoming
Zip Code:
Do you rent or own your home? -select Housing- Rent Own
Phone:
Email:
Optional, employment is not a requirement for participation.
Employer:
Position:
Business Phone:
Ext: (if applicable)
If yes, how long have you lived in the City?
How did you hear of the opening?
Briefly describe your background and experience:
List any special training, skills or experience you may have that are pertinent to the Board/Commission to which you are applying (please provide information pertaining to both your choices):
Discuss your motivation for serving on this Board/Commission (please provide information pertaining to both your choices):
State your goals for the City:
The City strongly values diversity, equity, and inclusion. Tell us what you have done to expand your understanding of and build relationships with people of different backgrounds than your own.
Languages you speak other than English:
For questions, call the Neighborhood Program at (503) 526-2543.