2023 Advisory Council Applicant Survey
Please complete this form for the CSC Habitat Board Engagement & Recruitment Committee
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Email *
Name (first and last)
Referred By:
Age *
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Gender *
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Race/Ethnicity *
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County of Residence *
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Community Connections *
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Core Competencies *
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Personal Style *
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Areas of Expertise *
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Committees of Interest 
*please note some committees are open to Board Members only.  If you are interested in Advisory Council, please indicate which Direct Service committees interest you most!
If you'd like us to contact you, what is the best time to reach you? *
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