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Board of Commissioners

Advisory Boards & Commissions

Select the boards you are applying for *

General Information

Are You a Resident of Kalamazoo County?   

Have you had any Diversity, Equity & Inclusion Training?   

 

Please indicate experience and/or qualifications that would help make you an effective board member for which you have applied:

 

Environmental Health Advisory Council – Additional Questions

Certain categories need to be represented on the Environmental Health Advisory Council. Please check categories which apply to you:

Please Note: A Recipient may be anyone who receives services on a regular basis from the Environmental Health Program of the Human Services Department.

Please indicate experience and/or qualifications that would help make you an effective member of the Environmental Health Advisory Council.

Why do you desire to serve on the Environmental Health Advisory Council?

 

Integrated Services of Kalamazoo (CMH) – Additional Questions

 

State law prohibits an individual from being appointed to a community mental health board if he/she is a party to a contract with the community mental health services program or administers or benefits financially from such a contract; or (2) serves in a policy-making position with an agency under contract with the community mental health services program. Listed below is a list of agencies that contract with the Kalamazoo County Community Mental Health Authority Board. This list is not all-inclusive.

Do any of these restrictions apply to you?   

Catholic Family Services
Community Living Options
Family & Children Services
Community Healing Center
Hope Network
InterAct of Michigan
MRC Industries, Inc.
Senior Services
Ministry with Community
Bridgeways
Douglass Community Association
Gryphon Place
HomeLife
Housing Resources
Keystone
Residential Opportunities, Inc.
WMU/Center for Disability Services

Certain categories need to be represented on the Community Mental Health Authority Board. Please check the categories which you believe apply to you:

(defined as an individual who has received or is receiving services from the private sector equivalent to those offered by the Department or a community mental health services program)

(defined as an individual who is currently directly receiving mental health services from the Department of Community Mental Health, a community mental health services program, or a facility or from a provider that is under contract with the Department or a community mental health services program)

(defined as a parent, stepparent, spouse, sibling, child, or grandparent of a primary consumer, or and individual upon whom a primary consumer is dependent for at least 50% of his/her financial support)

If you checked category a, c, d, e or f above, please explain how you represent that category.

What personal or professional experiences have you had with the target populations served by the Community Mental Health Authority Board?

Why do you desire to serve on the Community Mental Health Authority Board?

There is a limit of six "public officials" who can serve on the Community Mental Health Authority Board. "Public officials" are those persons serving in an elected or appointed public office or employed more than 20 hours per week by an agency of federal, state, city or local government. This includes public schools/colleges/universities.

Are you a public official?   

 

Older Adult Services Advisory Council – Additional Questions

Certain categories need to be represented on the Older Adult Services Advisory Council. Please mark all categories which apply to you:

Please indicate experience and/or qualifications that would help make you an effective member of this council

 

Open Data Citizen Oversight and Advisory Committee – Additional Questions

Please indicate your experience for the following:

This committee has representation requirements. Please answer the following questions so your application can be reviewed under the appropriate sector(s):

Do you identify as a member of a high need and underserved neighborhood with disproportionately high instances of: (select all that apply)

 

Do you identify as a representative of an Advocacy Group* that supports members of groups experiencing historical and intersectional disparate impact, disproportionality, oppression and/or discrimination?

  

Do you identify as a person who is experiencing historical and intersectional disparate impact, disproportionality, oppression and/or discrimination?

  

Are you a public employee or elected official?

  

This committee requires a letter of recommendation from an Advocacy Group*. Attach your letter of recommendation when you submit your application.

*Advocacy Group is defined as a group of people who work to support an issue or protect and defend a group of people.

 

Public Housing Commission – Additional Questions

 

The Board of Commissioners desires minority representation on its appointed commissions. You may choose to identify yourself as a minority. Checking "yes" or "no" will neither qualify nor disqualify you for the appointment.

Representative of the minority community?   

On what community board of directors/commissions are you a member?

Please indicate below the background experience you have which will be of value to you if you are appointed. Also indicate any reasons for desiring to serve on this Commission.

 

Solid Waste Management Planning Committee – Additional Questions

Part 115, Solid Waste Management, of the Natural Resources and Environmental Protection Act, 1994 PA 451, as amended, and the rules promulgated under the Act.

Please check box to indicate which group you would be representing:

“Solid Waste Management Industry” as defined in R 299.4105(j).
“Environmental Interest Group” as defined in R 299.4102(o).
“Regional Solid Waste Planning Agency” as defined in Section 324.11505(2).
“General Public” as defined in R 299.4103(e).

 

Please indicate experience and/or qualifications that would help make you an effective board member for which you have applied: (you may add your resume or curriculum vitae as an attachment)