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* What is your name and email address?

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Where do you live?

Raleigh City Council Resolution No. 302(1986) establishes a policy that advisory boards shall be representative of the City’s residents. In order to maintain compliance with this policy and ensure diverse representation on City Boards and Commissions, persons submitting the Boards and Commissions Interest form are encouraged to provide the information requested below.

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What is your gender identity?

Closed to responses

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What is your racial and/or ethnic identity?

Closed to responses

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Do you rent or own your home?

Rent
Own
Other
Closed to responses

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What is your age?

Under 18
18-25
26-35
36-45
46-55
56-65
66-75
Over 75
Closed to responses

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What is your household income?

Less than $25,000
$25,000 to $49,999
$50,000 to $74,999
$75,000 to $99,999
$100,000 to $124,999
$125,000 to $149,999
$150,000 or more
Closed to responses

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Who is your employer? (If you are applying to represent a business or organization)

Closed to responses

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What organization do you represent? (Please skip if not applicable)

Closed to responses

Tell us more about you! 

We want to know what interests you in joining this group. 

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Why are you interested in joining this group?

Closed for Comments

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Have you served on a community or neighborhood group before? Tell us about it.

Closed for Comments

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What concerns do you have about the future of the community?

Closed for Comments

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What part of the study are you most excited about?

Closed for Comments
Thank you for your responses!