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2. First Name*
3. Last Name*
5. Email Address*
6. Phone Number
8. City
9. State
10. Zip Code
12. If you live in Redmond, how long have you lived here?
13. Gender Identity (optional)
15. Do you have a disability or condition that impacts how you access city services or facilities, or participate in government? Please describe. (Optional)
17. How do you describe your race and ethnicity? (Optional)
19. Other identity information (Optional)

    The Chief of Redmond Police seeks to create an advisory team with members who represent our diverse community. Please share anything about yourself that might help you contribute important insights and experiences.

21. Team members must be Redmond residents, business owners, employees, property owners, LWSD students, stakeholders, or non-profit partners with cultural competency skills, experience in diversity work, or connections to the Redmond community. Explain how you fulfill this requirement.
23. Do you currently serve on another City of Redmond board or commission?

    1. Yes
    2. No
24. If yes, which one?
26. How would you like to participate? Select all that apply.

    1. Will apply as a CEAT member
    2. Will not apply to be a CEAT member, but would like to sign up to receive updates and information only
28. Why do you wish to serve on this team?
30. What lived experience, insight, or perspective would you bring that would better represent the diversity of the Redmond community?
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32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

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