Citizen Advisory Group Application

Application for Appointment to the Economic Development Committee are due no later than April 2, 2010 5:00 p.m.

For more information, please call Bridget Saladino at 503-657-0331 or bsaladino@westlinnoregon.gov.

Today's date: *

Please select which business area you represent (select all that apply):: *

Section 1 of the Council resolution creating the Economic Development Committee designates that the Committee shall be comprised of a representative from each of the five business areas in West Linn, as well as a designee from the Chamber of Commerce and four members appointed at large. Please select ALL options that apply to you; the appointment process will take this information into consideration.

Name: *

Contact Info

Address: *

City: *

State: *

Zip Code: *

Primary phone: *

Secondary phone:

Email Address: *

Occupation: *

Professional Activities: *

Years of Residence in West Linn: *

Community Affiliations and Activities: please describe your current and previous community affiliations and activities.: *

Questions About Citizen Advisory Group Service

Question 1: Please explain why you would like to serve on this Citizen Advisory Group, and give any other background you might have in this area.:

Question 2: What should be the top goal or purpose of this Citizen Advisory Group, and how would your membership on this group contribute to attaining that goal or purpose?: *

Submission Acknowledgement: *

By submitting this form, I certify that all statements on this application are true and complete to the best of my knowledge. I understand false or incomplete statements shall be sufficient cause for disqualification or dismissal.

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Citizen Advisory Group Application

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