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?
State law provides that a Jury Board shall consist of not more than two members of the same political party. Please identify your political party membership, if any... i.e. democrat, republican, etc.
Please list below any community boards on which you serve; your reasons for wishing to serve on the Jury Board; and any background experience which may be of value if you are appointed to the Jury Board.
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? YES NO
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.