Resilience & Security Advisory Commission Application

Select the seat you want to apply for:*

Southcentral Borough Seat - Term Expires 09/20/2026Northwest Borough Seat - Term Expires 09/30/2026At-Large Seat Borough-wide - Term Expires 09/30/24

You must choose one.

Name:*

Invalid Input

Mailing Address:*

Invalid Input

City:*

Invalid Input

State:*

Invalid Input

Zip Code:*

Invalid Input

My Residence Address is DIFFERENT from my Mailing Address Invalid Input

Residence Address:*

Invalid Input

City:*

Invalid Input

State:*

Invalid Input

Zip Code:*

Invalid Input

Email:*

Invalid Input

Home Phone:

Invalid Input

Mobile Phone:

Invalid Input

How long have you lived in the area served by this Resilience & Security Advisory Commission?*

Invalid Input

In which of the 10 areas defining the scope of the commission do you have experience?*

Invalid Input

Comments (areas of interest, additional experience or qualifications, etc.):*

Invalid Input

Applicants are required to submit a resume.
To submit your resume, please email it to [email protected].

Enter the characters shown here:*

Get new characters Invalid Input - Please enter the characters shown in the image.