THIS IS A PUBLIC DOCUMENT: As a candidate for a public advisory group, the information provided will be available to the County Council, County Executive, and the public. All advisory group members are expected to be fair, impartial, and respectful of the public, County staff, and each other. Failure to abide by these expectations may result in revocation of appointment and removal from the appointive position.
Please type in your Mailing Address above
Indicate which position you are applying for:
Select which County Council District you live in:
Check all positions for which you qualify. SELECT AT LEAST ONE.
Do you have previous work or educational experience in at least one of the following subjects: climate change, renewable energy development, energy conservation, the energy sector, waste reduction and recycling, farming, food security, land use planning, municipal government, or flood mitigation and planning? If yes, please describe in question 7.
Do you represent one of the following? If yes, please explain in Question 7: community members from under-represented communities; community action agency, non-profit housing organization or social service agency; faith community; private school, home school, higher education or child care provider; medical and behavioral health care provider serving young children and families; community members with experience caring for children such as parent, foster parent, grandparent, or guardian; private business, corporation, or philanthropic organization.
Indicate which position you are applying for
Check all that apply:
The advisory board shall consist of a balance of persons with expertise, career experience, or lived experience in areas impacting public health and with populations served by the health department, including healthcare access and quality; physical environment, including built and natural environments; social and economic sectors, including housing, basic needs, education, and employment; business and philanthropy; communities that experience health inequities; government, and; tribal communities and tribal government.
Check all that apply. Describe your qualifying experience in Question 7 and/or an attached resume.
Select which option applies to you:
Do you have technical expertise in wildlife and habitat management or current or past professional experience as a: wetlands manager, wildlife biologist, conservation biologist, natural resources manager, watershed scientist, ecological restoration specialist, forestry protection, or tribal representative? If yes, please describe in question 7.
If applicable, please refer to vacancy list.
List most recent dates first
RCW 42.17A.005 (7) "Candidate" means any individual who seeks nomination for election or election to public office. An individual seeks nomination or election when he or she first: (a) Receives contributions or makes expenditures or reserves space or facilities with intent to promote his or her candidacy for office; (b) Announces publicly or files for office; (c) Purchases commercial advertising space or broadcast time to promote his or her candidacy; or (d) Gives his or her consent to another person to take on behalf of the individual any of the actions in (a) or (c) of this subsection.
My signature affirms that the information provided in this application is true and correct. If appointed, I will comply with the Council & Executive Expectations of Advisory Group Members and complete Open Government Training as required by RCW 42.30.205
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