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Community Advisory Committee Application

  1. Do you live or work in Dublin?*

  2. Demographic Information:

    The following questions will help the City of Dublin select a diverse advisory committee membership identified by the City Council:

  3. Gender:*

  4. Which of the following best describes you?*

  5. Age*

  6. I am a (check all that apply):*

  7. Statement of Qualifications:

  8. The Community Advisory Committee will meet three times between May 2021 and January 2022. The meetings will be held in the evening, Monday - Friday. Please provide the following:

  9. Application deadline: Wednesday, April 21, 2021, at 5:00 p.m.

  10. Leave This Blank:

  11. This field is not part of the form submission.