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ELI Survey
This survey is to gather information from an individual who is interested in a particular board/commission/committee.
What is your name
Your answer
Email Address
Your answer
Phone Number
Your answer
Address
Your answer
What is your gender
Are you between the ages of 18 and 35?
Twitter Handle
Your answer
Facebook Page
Your answer
YouTube Channel
Your answer
Vine
Your answer
Instagram Account
Your answer
Other Social Media
Your answer
Position applying for
Your answer
Where do you reside?
Your answer
Do you live in the appropriate district?
Have you ever been convicted of a crime?
If yes, provide the date, the crime, and a brief description of the facts that lead to the conviction.
Your answer
As a Millennial how do you feel you could bring a unique perspective to a board/commission/committee?
Your answer
Rank your top 5 policy issues that most affect the Millennial generation from most to least important, with 1 being the most important and 5 being the least important:
Your answer
How will you address these issues while serving? 
Your answer
In your opinion, what is the best way to engage millennial citizens in the governance process? 
Your answer
How have you been involved in your community?
Your answer
Reliability Information
Strongly Agree
Agree
Uncertain or Neutral
Disagree
Strongly Disagree
I am on time to meetings and other appointments.
I can be counted on to complete my projects on time and without prompting from others.
If need be, I am willing to put in extra hours on a project in order to see it to completion.
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