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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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