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Paper Application

City of Seattle Boards and Commissions Application Form

Send Paper Applications to: Office of the City Clerk Seattle City Hall PO Box 94728 Seattle, Washington 98124‑4728

Profile

Email Address *

Name

First Name *
Last Name *

Address

Street Address *
Suite or Apt
City *
State *
Postal Code *

Phone Number

Primary Phone * Primary Phone
Alternate Phone Alternate Phone

Employment Information

Employer
Job Title
Occupation

Which Boards would you like to apply for? *

Please select a Board

These board-specific questions have been added to your application:

Advisory Committee On Tolling And Traffic Management

The request for this information is to ensure that the commission is balanced and representative of Seattle’s Indigenous community members. My current housing situation is: Go to Question
Tribal affiliations (enter each affiliation separated by a semicolon ( ; ) Go to Question

Seattle Freight Advisory Board

Please describe why you are interested to join the Seattle Freight Advisory Board? (max. 250 words) Go to Question
What do you feel you bring to the Seattle Freight Advisory Board? What perspective(s) do you bring to the Board? (max. 250 words) Go to Question
There are multiple types of goods movement and supply chains from local delivery and distribution to international marine and air cargo. Have you worked in or with any goods movement industries? Please describe. (max. 250 words) Go to Question
The Seattle Department of Transportation’s (SDOT) vision is that Seattle is a thriving, equitable community powered by dependable transportation, and the department's mission is to deliver a transportation system that provides safe and affordable access to places and opportunities. SDOT recognizes equity as a key value and believes transportation must meet the needs of communities of color and those of all incomes, abilities, and ages. Please describe how freight can play a part in SDOT’s equity work? (max. 250 words) Go to Question

Seattle Bicycle Advisory Board

Please describe why you are interested in serving on the Seattle Bicycle Advisory Board? (max. 250 words) Go to Question
What do you feel you bring to the Seattle Bicycle Advisory Board? In particular, what unique perspective(s) do you bring to the Board? (max. 250 words) Go to Question
Please describe what neighborhoods in Seattle you are familiar with, from a bicycling perspective. Go to Question
The Seattle Department of Transportation’s (SDOT) vision is that Seattle is a thriving, equitable community powered by dependable transportation, and the department's mission is to deliver a transportation system that provides safe and affordable access to places and opportunities. SDOT recognizes equity as a key value and believes transportation must meet the needs of communities of color and those of all incomes, abilities, and ages. Please describe how bicycle policy can play a part in SDOT’s equity work? (max. 250 words) Go to Question

Seattle Pedestrian Advisory Board

Please describe why you are interested in serving on the Pedestrian Advisory Board (max. 250 words). Go to Question
Please describe what unique perspectives you bring to the Pedestrian Advisory Board (max. 250 words). Go to Question
The Pedestrian Advisory Board seeks to center race and social justice in its work and advocacy. Please describe your experience in advancing race and social justice in your work or personal life (max. 250 words). Go to Question
Please list what neighborhoods in Seattle you are familiar with, from a pedestrian perspective (max. 250 words). Go to Question

Seattle School Traffic Safety Committee

Please describe why you are interested in serving on the Seattle School Traffic Safety Committee? (max. 250 words) Go to Question
What do you feel you bring to the Seattle School Traffic Safety Committee? In particular, what unique perspective(s) do you bring to the Committee? (max. 250 words) Go to Question
The Seattle School Traffic Committee aims to address safety concerns around schools. What are some key safety issues that you would prioritize during your time on the Committee? (max. 250 words) Go to Question
The Seattle Department of Transportation’s (SDOT) vision is that Seattle is a thriving, equitable community powered by dependable transportation, and the department's mission is to deliver a transportation system that provides safe and affordable access to places and opportunities. SDOT recognizes equity as a key value and believes transportation must meet the needs of communities of color and those of all incomes, abilities, and ages. Please describe how school safety can play a part in SDOT’s equity work? (max. 250 words) Go to Question

Levy To Move Seattle Oversight Committee

Please describe why you are interested in joining the Move Seattle Levy Oversight Committee. (max. 250 words) Go to Question
What do you feel you bring to the Move Seattle Levy Oversight Committee? In particular, what unique perspective(s) do you bring to the Committee? (max. 250 words) Go to Question
What is a project or activity you are most proud of, in a professional or non-professional context? Please describe your role. (max. 250 words) Go to Question
The Seattle Department of Transportation’s (SDOT) vision is that Seattle is a thriving, equitable community powered by dependable transportation, and the department's mission is to deliver a transportation system that provides safe and affordable access to places and opportunities. SDOT recognizes equity as a key value and believes transportation must meet the needs of communities of color and those of all incomes, abilities, and ages. Please describe how the Move Seattle Levy Oversight Committee can play a part in SDOT’s equity work. (max. 250 words) Go to Question

Seattle Transit Advisory Board

Please describe why you are interested in joining the Seattle Transit Advisory Board. (max. 250 words) Go to Question
What perspectives, experiences, and/or community connections do you bring to the Seattle Transit Advisory Board? (max. 250 words) Go to Question
The Seattle Department of Transportation’s (SDOT) vision is that Seattle is a thriving, equitable community powered by dependable transportation, and the department's mission is to deliver a transportation system that provides safe and affordable access to places and opportunities. SDOT recognizes equity as a key value and believes transportation must meet the needs of communities of color and those of all incomes, abilities, and ages. Please describe how transit policy can play a part in SDOT’s equity work? (max. 250 words) Go to Question
The Transit Advisory Board is tasked, in part, with oversight of the voter approved Seattle Transit Measure to provide improved transit service and access throughout Seattle. What do you see as some of the most important transit goals to pursue with these resources? (max. 250 words) Go to Question
What transit route(s) do you ride most often, and what do you use transit to access? (max. 250 words) Go to Question

Community Involvement Commission

Please describe why you are interested in serving on the Community Involvement Commission. Go to Question
Please describe the connections you have in your community. These could include faith-based, cultural, ethnic, or interest-based groups (to name a few). Go to Question
Describe one topic you would like to have the Community Involvement Commission address. Go to Question

Green New Deal Oversight Board

I am interested in the position(s) below (select all that applies): Go to Question
Please submit a letter describing your qualifications as they relate to your position(s) of choice. Go to Question

Equitable Development Initiative Advisory Board

Have you graduated from, participated in or are involved with; a community based organization, training, cohort or institute? Go to Question
Please tell us how that experience contributes to your work or passion? Go to Question
Statement of interest to serve on the Equitable Development Initiative Advisory Board Go to Question

Districting Commission

Please submit a letter sharing why you are interested in serving on the Districting Commission. In your response, please write a maximum of 500 words. Describe any relevant personal or professional experience that makes you uniquely qualified for this role and explain why you believe a race and social justice lens is important to the redistricting process. Go to Question

Board Of Parks And Recreation Commissioners

Which position are you applying for (leave blank if not applicable)? Go to Question

Indigenous Advisory Council

The Indigenous Advisory Council consists of nine members representing urban Indigenous communities including American Indian, Alaska Native, and Native Hawaiian peoples. Terms for all positions shall be two years, except that the initial term for positions 1, 4, 6, and 8 shall be one year. Please select at least one membership position for which you are applying. Go to Question
Go to Question
Tell us more about yourself. Go to Question
Please describe why you are interested in serving on the Indigenous Advisory Council? Go to Question
Please describe your relationship to Indigenous communities in Seattle. Go to Question
Describe one topic you would like the Indigenous Advisory Council to address. Go to Question
Specify Race/ Ethinicity Go to Question
Primary language spoken at home: Go to Question
What is your primary occupation or expertise? Go to Question

Residential Neighborhood *

What is your Residential Council District? *

To find your Residential Council District please follow the link below and enter in your residential address. Please select N/A if you reside outside of City of Seattle limits.

http://www.kingcounty.gov/depts/elections/elections/maps/find-my-districts.aspx

Question applies to Board of Parks and Recreation Commissioners

Which position are you applying for (leave blank if not applicable)?

Interests & Experiences

If you hold any professional licenses, please list them here:

Why are you interested in serving on a board or commission?

Please submit a brief letter of interest.
accepted formats: doc, docx, rtf, txt, and pdf

Question applies to Green New Deal Oversight Board

I am interested in the position(s) below (select all that applies):

Question applies to Green New Deal Oversight Board

Please submit a letter describing your qualifications as they relate to your position(s) of choice. *
accepted formats: doc, docx, rtf, txt, and pdf

Upload a Resume
Accepted file types: RTF, DOC, DOCX, PDF, TXT, JPG, JPEG, GIF, PNG

Question applies to Equitable Development Initiative Advisory Board

Have you graduated from, participated in or are involved with; a community based organization, training, cohort or institute? * Yes No

Question applies to Equitable Development Initiative Advisory Board

Please tell us how that experience contributes to your work or passion? *

Question applies to Equitable Development Initiative Advisory Board

Statement of interest to serve on the Equitable Development Initiative Advisory Board *

Question applies to Seattle Freight Advisory Board

Please describe why you are interested to join the Seattle Freight Advisory Board? (max. 250 words) *

Question applies to Districting Commission

Please submit a letter sharing why you are interested in serving on the Districting Commission. In your response, please write a maximum of 500 words. Describe any relevant personal or professional experience that makes you uniquely qualified for this role and explain why you believe a race and social justice lens is important to the redistricting process. *
accepted formats: doc, docx, rtf, txt, and pdf

Question applies to Seattle Freight Advisory Board

What do you feel you bring to the Seattle Freight Advisory Board? What perspective(s) do you bring to the Board? (max. 250 words) *

Question applies to Seattle Freight Advisory Board

There are multiple types of goods movement and supply chains from local delivery and distribution to international marine and air cargo. Have you worked in or with any goods movement industries? Please describe. (max. 250 words) *

Question applies to Seattle Freight Advisory Board

The Seattle Department of Transportation’s (SDOT) vision is that Seattle is a thriving, equitable community powered by dependable transportation, and the department's mission is to deliver a transportation system that provides safe and affordable access to places and opportunities. SDOT recognizes equity as a key value and believes transportation must meet the needs of communities of color and those of all incomes, abilities, and ages. Please describe how freight can play a part in SDOT’s equity work? (max. 250 words) *

Question applies to Seattle Transit Advisory Board

Please describe why you are interested in joining the Seattle Transit Advisory Board. (max. 250 words) *

Question applies to Seattle Transit Advisory Board

What perspectives, experiences, and/or community connections do you bring to the Seattle Transit Advisory Board? (max. 250 words) *

Question applies to Seattle Transit Advisory Board

The Seattle Department of Transportation’s (SDOT) vision is that Seattle is a thriving, equitable community powered by dependable transportation, and the department's mission is to deliver a transportation system that provides safe and affordable access to places and opportunities. SDOT recognizes equity as a key value and believes transportation must meet the needs of communities of color and those of all incomes, abilities, and ages. Please describe how transit policy can play a part in SDOT’s equity work? (max. 250 words) *

Question applies to Seattle Transit Advisory Board

The Transit Advisory Board is tasked, in part, with oversight of the voter approved Seattle Transit Measure to provide improved transit service and access throughout Seattle. What do you see as some of the most important transit goals to pursue with these resources? (max. 250 words) *

Question applies to Seattle Bicycle Advisory Board

Please describe why you are interested in serving on the Seattle Bicycle Advisory Board? (max. 250 words) *

Question applies to Seattle Bicycle Advisory Board

What do you feel you bring to the Seattle Bicycle Advisory Board? In particular, what unique perspective(s) do you bring to the Board? (max. 250 words) *

Question applies to Seattle Bicycle Advisory Board

Please describe what neighborhoods in Seattle you are familiar with, from a bicycling perspective. *

Question applies to Seattle Bicycle Advisory Board

The Seattle Department of Transportation’s (SDOT) vision is that Seattle is a thriving, equitable community powered by dependable transportation, and the department's mission is to deliver a transportation system that provides safe and affordable access to places and opportunities. SDOT recognizes equity as a key value and believes transportation must meet the needs of communities of color and those of all incomes, abilities, and ages. Please describe how bicycle policy can play a part in SDOT’s equity work? (max. 250 words) *

Question applies to Indigenous Advisory Council

The Indigenous Advisory Council consists of nine members representing urban Indigenous communities including American Indian, Alaska Native, and Native Hawaiian peoples. Terms for all positions shall be two years, except that the initial term for positions 1, 4, 6, and 8 shall be one year. Please select at least one membership position for which you are applying. *

Question applies to Indigenous Advisory Council

All members shall demonstrate a commitment to advancing Indigenous knowledge, values, and priorities within the City landscape with the goal to improve access to City services by Indigenous people, as well as to advance City services themselves to better serve Indigenous people in an equitable way.

Question applies to Indigenous Advisory Council

Tell us more about yourself. *

Question applies to Indigenous Advisory Council

Please describe why you are interested in serving on the Indigenous Advisory Council? *

Question applies to Indigenous Advisory Council

Please describe your relationship to Indigenous communities in Seattle. *

Question applies to Indigenous Advisory Council

Describe one topic you would like the Indigenous Advisory Council to address. *

Question applies to Seattle Pedestrian Advisory Board

Please describe why you are interested in serving on the Pedestrian Advisory Board (max. 250 words). *

Question applies to Seattle Pedestrian Advisory Board

Please describe what unique perspectives you bring to the Pedestrian Advisory Board (max. 250 words). *

Question applies to Seattle Pedestrian Advisory Board

The Pedestrian Advisory Board seeks to center race and social justice in its work and advocacy. Please describe your experience in advancing race and social justice in your work or personal life (max. 250 words). *

Question applies to Seattle Pedestrian Advisory Board

Please list what neighborhoods in Seattle you are familiar with, from a pedestrian perspective (max. 250 words). *

Question applies to Seattle School Traffic Safety Committee

Please describe why you are interested in serving on the Seattle School Traffic Safety Committee? (max. 250 words) *

Question applies to Seattle School Traffic Safety Committee

What do you feel you bring to the Seattle School Traffic Safety Committee? In particular, what unique perspective(s) do you bring to the Committee? (max. 250 words) *

Question applies to Seattle School Traffic Safety Committee

The Seattle School Traffic Committee aims to address safety concerns around schools. What are some key safety issues that you would prioritize during your time on the Committee? (max. 250 words) *

Question applies to Seattle School Traffic Safety Committee

The Seattle Department of Transportation’s (SDOT) vision is that Seattle is a thriving, equitable community powered by dependable transportation, and the department's mission is to deliver a transportation system that provides safe and affordable access to places and opportunities. SDOT recognizes equity as a key value and believes transportation must meet the needs of communities of color and those of all incomes, abilities, and ages. Please describe how school safety can play a part in SDOT’s equity work? (max. 250 words) *

Question applies to Levy to Move Seattle Oversight Committee

Please describe why you are interested in joining the Move Seattle Levy Oversight Committee. (max. 250 words) *

Question applies to Levy to Move Seattle Oversight Committee

What do you feel you bring to the Move Seattle Levy Oversight Committee? In particular, what unique perspective(s) do you bring to the Committee? (max. 250 words) *

Question applies to Levy to Move Seattle Oversight Committee

What is a project or activity you are most proud of, in a professional or non-professional context? Please describe your role. (max. 250 words) *

Question applies to Levy to Move Seattle Oversight Committee

The Seattle Department of Transportation’s (SDOT) vision is that Seattle is a thriving, equitable community powered by dependable transportation, and the department's mission is to deliver a transportation system that provides safe and affordable access to places and opportunities. SDOT recognizes equity as a key value and believes transportation must meet the needs of communities of color and those of all incomes, abilities, and ages. Please describe how the Move Seattle Levy Oversight Committee can play a part in SDOT’s equity work. (max. 250 words) *

Question applies to Community Involvement Commission

Please describe why you are interested in serving on the Community Involvement Commission. *

Question applies to Community Involvement Commission

Please describe the connections you have in your community. These could include faith-based, cultural, ethnic, or interest-based groups (to name a few). *

Question applies to Community Involvement Commission

Describe one topic you would like to have the Community Involvement Commission address. *

Question applies to Seattle Transit Advisory Board

What transit route(s) do you ride most often, and what do you use transit to access? (max. 250 words) *

Demographics

Diversity information collected is voluntary.

Gender Identity

Ethnicity

Date of birth

Question applies to Indigenous Advisory Council

Specify Race/ Ethinicity

Question applies to Advisory Committee on Tolling and Traffic Management

The request for this information is to ensure that the commission is balanced and representative of Seattle’s Indigenous community members. My current housing situation is:

Question applies to Indigenous Advisory Council

Primary language spoken at home:

Question applies to Advisory Committee on Tolling and Traffic Management

Tribal affiliations (enter each affiliation separated by a semicolon ( ; )

Other Info

Question applies to Indigenous Advisory Council

What is your primary occupation or expertise? *

Are you currently a City employee? * Yes No

Do you have a contract with the city? Yes No

Please Agree with the Following Statement *

I certify that the above application information is accurate and complete to the best of my knowledge. I understand that the information I provided is subject to public records request unless it is specifically exempt from the Washington State Public Records Act.

I Agree *

Please fill out all required fields and correct any errors before submitting.

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