Community Advisory Council Membership Application

* Indicates a required field

Name *

Email address

Preferred phone number

Home street address

City

Zip Code

Do you live or work in Ramsey County?

Yes

No

What committee are you interested in joining?

Adult Services

Adult Mental Health

Children's Services Review Panel

Disabilities Services and Support

Substance Use and Recovery

What motivates you to serve on an advisory committee? *

What do you bring to the committee? *

lived experience, related work/volunteer experience, special interest.

Is there anything else you would like to share about yourself?

References *

Please list the names, email addresses, phone numbers and your relationships of three references.

How do I...?