Northwest Corridor Stakeholder Committee (CSC) Application

Application deadline: Friday, October 18 Name:_________________________________________________________________ Mailing Address: Phone:

______________________________________________________
Email:

_____________________
or use for

________________________________
(Check all that apply)

Indicate the Northwest Corridor community/neighborhood/station area(s) in which you:

live work do business

recreation

_________________________________________________
Occupation/Employer:________________________________________________________________ Which category best describes you? (Check all that apply)
Engaged Northwest Corridor resident: Resident who has been active in previous corridor, local or station area planning processes Member of an HOA or other neighborhood group Community leader interested in/representing: Older adults Youth Low-income communities or those at-risk of displacement Person(s) with limited English proficiency Person(s) with a disability Communities of color Small business ownership Housing: Mixed-income/ affordable/workforce Transportation access or alternatives (multimodal--trails, cycling, walkability) Education and Training Job creation/retention or economic development Public health and/or safety Arts/cultural resources Other: ______________________

1. Why are you interested in participating in the Northwest Corridor Stakeholder Committee?

Page 1 of 2 2. Have you been involved with any community or advocacy groups? (If so, please identify)

3. Have you participated in any local government or station area planning processes or served on an advisory committee? (If so, please identify)

----------------------------------------------------------------------------------------------------------------------------------------Please return completed applications to Ashley Kaade by Friday, Oct. 18 at akaade@drcog.org. Mail/Hand Deliver: DRCOG, Attn: Ashley Kaade, 1290 Broadway, Suite 700, Denver, CO 80203 Fax: (303) 480-6790, Attn: Ashley Kaade If you have questions about the committee or the application, please feel free to contact Ashley Kaade at akaade@drcog.org or call (303) 480-6781.

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