Steering Committee Application Form: Participatory Budgeting in Merced County Districts 1 & 2

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for your interest in serving on the Steering Committee for Participatory Budgeting in Merced County Districts 1 & 2! Applications are due June 16, 2017, at 4:30 pm.

Applications will be reviewed by the Supervisors Rodrigo Espinoza & Lee Lor, with support from BHC Merced and PBP, to ensure that the Steering Committee represents the diversity of participating districts and a variety of resource organizations.

Steering Committee membership is open to: a) Residents of Districts 1 and 2 and, b) Community organizations, nonprofits, or public agencies serving Districts 1 and 2.

Not sure what district you're in? Visit this link: http://arcg.is/2qlfIdS

For more information on participatory budgeting, visit participatorybudgeting.org and watch this video: https://vimeo.com/162743651

I am applying to serve on the Steering Committee as a... *

Resident of District 1

Resident of District 2

Representative of a community organization or other local institution

Other:

Name *

Name of Organization (if applicable)

Representative's Position in Organization (if applicable)

Email *

Phone *

Address *

Why do you want to serve on the PB Steering Committee? (300 words max) *

Description of Organization (if applicable; 300 words max):

Which neighborhood(s) do you or your organization primarily work with or identify with? *

What demographic groups does your organization work with? (if applicable)

Which of the following Steering Committee activities would you plan to contribute to the most? *

participant outreach

media/press outreach

event planning

meeting facilitation

Other:

Required

Please read and check the box below to indicate your understanding: *

I understand that Steering Committee organizations will not be eligible to receive funds allocated through PB.

Required

Optional: Are you interested in having your organization serve as a Steering Committee Co-Chair?

Steering Committee Co-Chairs will work with BHC Merced and the Participatory Budgeting Project to create agendas for and facilitate Steering Committee meetings and workshops, among other duties. Co-Chairs will be expected to commit approximately an additional 2-4 hours per month from August 2017 to June 2018.

Yes

Clear selection

Clear form

Never submit passwords through Google Forms.

This form was created inside of The Participatory Budgeting Project. Report Abuse

Forms