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Active Transportation Committee Application

  1. Optional Information

    The City of Eugene does not discriminate on the basis of race, gender, or other forms of demographic identity or expression. In order better evaluate the effectiveness of our recruiting efforts and ensure we consider the needs of all our community members, please consider the following optional questions.

  2. Ethnicity

    Check as many as apply

  3. Languages you speak fluently

    Check all that apply

  4. How did you learn about vacancies on the Active Transportation Committee?
  5. If you selected Newsletter, please indicate which one

    If you selected Social Media, please indicate which one

    If you selected Word of Mouth, please explain 

  6. 3. Members of the Active Transportation Committee represent a broad range of interests. Please indicate areas of personal or professional experience, expertise or skills you would bring to the committee.

    Check all that apply

  7. Leave This Blank:

  8. This field is not part of the form submission.