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2. 
4. Resiliency and Sustainability Plan Steering Committee Application
6. Name
7. Email Address
9. Address
10. City
12. State
13. Zip Code
14. Phone Number
16. Occupation/Affiliation
18. Please describe your interest in serving on the Resiliency and Sustainability Plan Steering Committee.
20. Please explain how your community activities and other relevant experience/interests are applicable to this committee.
22. Will you be able to make mandatory monthly meetings between June 2023-May 2024, virtual options may be available (date, time, and location TBD)?

    1. Yes
    2. No
24. Are you an employer or business owner in Grand Junction?

    1. Yes
    2. No
26. If Yes, please list the name of the company.
28. Please indicate the top three aspects of sustainability in which you have the highest interest.

    1. Renewable Energy
    2. Energy Efficiency
    3. Water Conservation
    4. Waste Diversion
    5. Alternative Transportation
    6. Community Resiliency

    1. Climate Adaptation/Mitigation
    2. Green Spaces/Biodiversity
    3. Agriculture
    4. Social Equity
    5. Economic Vitality
    6. Other
30. If you chose "Other," please explain.
32. Please specify the area of the City in which you reside:

    1. City Center
    2. North West GJ
    3. Horizon
    4. Fruitvale
    5. Pear Park
    6. Orchard Mesa
    7. Redlands
    8. Appleton
    9. Garfield
    10. Prefer not to answer
34. Please indicate your age group

    1. 18-34
    2. 35-54

    1. 55+
    2. Prefer not to answer
36. Are you of Hispanic or Latino origin?

    1. Yes
    2. No
    3. Prefer not to answer
38. What is your primary language OR do you speak a language other than English? Please specify.
40. Would you consider yourself to have a disability?

    1. Yes
    2. No
    3. Prefer not to answer
Leave This Blank:


42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit

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