Concord Task Force Application

Name

Occupation

Home Address

City

State

Zip 97045 / 97045-1234

Incorporated
Yes No

Daytime phone ###-###-####

Evening phone ###-###-####

E-mail address name@example.com

What are the reasons for your interest in this task force?

What are your community interests (committees, organizations, activities)?

What experience or educational background do you have which might be significant to the task force?

Do you have expertise or professional experience in any of the following? (Check all that apply
Architecture, construction or development
Park planning and/or landscape architecture
Historic preservation
Accessible design
League sports
Needs and interests of adults/seniors
Early childhood recreation and education
Community recreation and health
Outdoors, open spaces, and natural resources
Public finance
Equity, diversity, and inclusion
Arts

List other community groups or boards on which you serve or have served.

Referred by (if anyone):

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