2018 Advisory Group Application
Please complete this form to apply to be member of the Advisory Group for Safe Streets' 2018 Conference for Neighborhood Leaders.
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Mailing Address *
Format: Street Address, City, State Zip
Your answer
Phone Number *
Your answer
Please select all/any previous events that you have attended: *
(Mark all that apply)
Required
Are you able to attend the Advisory Group Meetings? *
The Advisory Group will generally meet on the fourth Tuesday of the month (March - November) from 4:30 - 6:30 PM at Safe Streets' office in downtown Tacoma.
Are you able to attend the Conference for Neighborhood Leaders? *
The 2018 Conference for Neighborhood Leaders will most likely be on Saturday, November 3rd, 2018 (pending final confirmation). The location of the event has not yet been finalized but will be somewhere in Pierce County.
Please select which affiliations apply to you: *
(Mark all that apply)
Required
Please describe your affiliation selections above *
Please describe your specific affiliation(s), such as the name of your Safe Streets Group, YLC Chapter, Public Agency, Elected Position, etc.
Your answer
Why are you interested in joining the Advisory Group? What will you bring to the team? *
Your answer
Anything else you'd like us to know?
Your answer
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