Are You a Resident of Kalamazoo County? YES NO
Have you had any Diversity, Equity & Inclusion Training? YES NO
Please indicate experience and/or qualifications that would help make you an effective board member for which you have applied:
Certain categories need to be represented on the Environmental Health Advisory Council. Please check categories which apply to you:
Why do you desire to serve on the Environmental Health Advisory Council?
Certain categories need to be represented on the Older Adult Services Advisory Council. Please mark all categories which apply to you:
In compliance with AASA Operating Standard B-5, the council shall consist of more than fifty percent (50%) of its members being older individuals (age 60 or older).
Please select one:
