Community Advisory Council Application- Senator Tom Cullerton
Thank you for your interest in participating in one of our Community Advisory Councils. Please fill out the form below by May 15th, to be considered for a one year position starting June 1st. All applicants need to reside in the 23rd Senate District.

Each 7-member Council will hold regular meetings to discuss important issues in the community. If you have additional questions, please contact Jeremy at 630-903-6662.
Please Select ONE Community Advisory Council you are interested in: *
First Name *
Your answer
Last Name *
Your answer
Address *
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City *
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Zip *
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Email Address *
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Phone Number *
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How long have you resided in the area?
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Please list the community activities you are currently involved in or have been in the past two years? (Please list with dates/positions if applicable) *
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Why would you like to participate in an advisory council? *
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Additional Information (if you would like to expand on an answer)
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