Citizen Expression of Interest Form Name(Required) First Last Traditional Family(Required) Last Email(Required) Address(Required) Street Address City State / Province / Region ZIP / Postal Code Phone(Required)Secondary Phone NumberName of Committee, Commission, or Working Group you wish to be considered for (list all you wish to be considered for)(Required) List the Committees, Commissions, or Working Groups that you currently sit on or have sat on in the past for the Ta’an?(Required) List your passions & interests that are relevant to the Committee, Commission, or Working Group you wish to be considered for.(Required) List your formal education & training that is relevant to the Committee, Commission, or Working Group you wish to be considered for. List your informal lived experiences that are relevant to the Committee, Commission, or Working Group you wish to be considered for. TKC Committee, Commission, & Working Group Meetings occur maximum 2 times per month, are you able to commit to attend 2 mee-tings per month?(Required) Yes No TKC Committee, Commission, & Working Group Meetings are held in- person/online hybrid, which way will you attend the meetings typically?(Required) In- Person Virtual (Online) I, the undersigned, acknowledge by clicking I agree below, that all of the information on this application is accurate.(Required) I agree Δ