Advisory Committee Application

Please provide your email at the bottom of the form so that you receive a copy of your submission. If you do not receive a copy of your submission, contact Trish Savage at tsavage@bendoregon.gov or (541) 323-8575.

Note: All information/documents related to service on advisory committees are subject to public records disclosure, including information provided on this application.

Committee Application

"*" indicates required fields

Full Name*

First Name Last Name

Preferred Name

Pronouns

Select the Committee you are applying for:*

Do you live within the city limits of Bend?*

Current Employer

How did you hear about this opportunity?

Full Address*

Street Number and Name City State / Province / Region Postal/ZIP Code

Email*

Phone*

Why do you want to volunteer on this advisory Board, Committee or Commission?*

Please describe your experience working with communities with diverse experiences. How has your lived and professional experience prepared you for this role?*

What skills, interest, or experience do you have that you believe would bring special value to your ability to serve on this committee?*

Employment: Describe your professional background and what skillsets you would bring to this advisory board, committee, or commission.*

Volunteerism: What experience do you have serving on advisory boards, committees, or commissions?*

The City of Bend values diversity and is prioritizing the creation of inclusive practices and removing barriers to participation on advisory committees.

Contact

Trish Savage
Deputy City Recorder 541-323-8675 tsavage@bendoregon.gov