CAP Solano JPA Tripartite Advisory Board Member Application
Please complete this application if you are interested in serving on the Tripartite Advisory Board. If you have questions about if you qualify or what seat might be the best fit for your application, please contact our team at admin@capsolanojpa.org.
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Email *
First and Last Name *
Phone number *
Business Address
Street, City, State, Zip 
Occupation and Business Name (if applicable)
Please select the seat you are applying for.
Clear selection
Describe your qualification under the selected seat.
For Private Sector, identify the association with the relevant group of interest in the community.
Describe the nature of your interest and commitment.  *
Describe any experiences, education, training, work, memberships, etc., that you feel would be of value if you were to be appointed to the Tripartite Advisory Board. *
By typing my name below, I hereby apply for membership on the Community Action Partnership of Solano, JPA Tripartite Advisory Board, which complies with Federal and State statutes pertaining to Community Services Block Grant and other programs the Community Action Agency administers. I confirm that I am eligible to serve in the selected category and am a resident of Solano County or otherwise demonstrate knowledge of and interest in the community and its low-income population. I understand that my application is subject to approval of the CAP Solano JPA (Public and Private) or electronic vote of the CoC General Membership (Low-Income Representative). *
A copy of your responses will be emailed to the address you provided.
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