Historic Albina Advisory Board Statement of Interest
See more information about the Historic Albina Advisory Board (HAAB) here: https://www.i5rosequarter.org/get-involved/historic-albina-advisory-board-haab/

Information provided on this form is considered a public record and could be subject to a public records request.
Email address *
Name: *
Affiliation (if any):
Mailing Address:
Please include street address, city, state, and zip code
Phone: *
Example: 123-456-7890
I am available to participate in the first meeting on a weekday in January (TBD) from 5:30-8pm via a Zoom online meeting. *
Please respond to the statement by selecting Yes or No from the drop-down menu.
Please briefly describe your connection to historic Albina, your values regarding restorative justice, and your interest in shaping the I-5 Rose Quarter Improvement Project moving forward. *
Please limit your response to 500 words or less.
Thank you for your interest in serving on the I-5 Rose Quarter Improvement Project’s Historic Albina Advisory Board. All applicants will be notified of their selection status by December 14. Questions? Please contact April deLeon-Galloway at April.M.DELEON@odot.state.or.us or 971.269.7258.


Information provided on this form is considered a public record and could be subject to a public records request.

All Project committee meetings are open to the public. If you wish to attend a virtual meeting but cannot attend by phone or computer or you require language accommodation, please contact the Project team at 503-470-3127 at least 48 hours in advance of the meeting time.

For ADA (Americans with Disabilities Act) or Civil Rights Title VI accommodations, translation/interpretation services, or more information call 503-731-4128, TTY 800-735- 2900 or Oregon Relay Service 7-1-1.

¿Habla usted español? Podemos proporcionar la información de esta publicación en español, por favor llame al 503-731-4128.
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