Application for Advisory Committees

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I AGREE

Before applying, please visit the following webpage to review the requirements for the specific advisory committee you're applying for:

San Francisco County Transportation Authority Citizens Advisory Committee (TA CAC)

First Name

Last Name

Gender (Optional)

Ethnicity (Optional)

Supervisorial District of Residence

Neighborhood of Residence

Home Address

Home Address - City

Home Address - State

Home Address - Zip Code

Home Phone Number

Home Email Address

The following questions regarding workplace are optional.

Supervisorial District of Workplace

Neighborhood of Workplace

Work Address

Work Address: City

Work Address: State

Work Address: Zip Code

Work Phone Number

Work Email Address

Statement of qualifications:

Please provide a short summary statement of your qualifications. In addition, you may paste in your resume.

Statement of objectives if appointed:

Please provide a short statement about your objectives and goals if appointed.

Please select all categories of affiliation or interest that apply to you:

Business

Disabled

Environment

Labor

Neighborhood

Public Policy

Senior Citizen

Can you commit to attending regular meetings (about once a month)?

Privacy Request (optional)

Keep home address confidential

Keep home phone confidential

Keep home email confidential

Please note that the information you provide in this application will be made available to the public. However, if you do not want your home address, home phone number and/or email disclosed, check the appropriate privacy request boxes to have that information redacted from the publicly available copies. Where residence is relevant, a portion of the address (such as street name) may be disclosed.

Electronic Signature

Date