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Village of Lansing
Human Relations Commission Application Questions
RevisedLogoJuly10


1.  Prefix      
Mr.             Mrs.            Ms.            Dr.            
2.  First and Last Name*
3. Home Address*
 
4. City*
5. Zip Code*
 6. E-mail address
7. Primary Phone*
8. Alternate Phone
9. Are you registered to vote in Lansing?*
 Yes              No
10. How long have you been a resident of Lansing?*
11. Present Employer*
12. Occupation*
13. Are you or have you been involved in a commitee, board, or commission in Lansing or another community?*
Yes                No
14. If so, where and which one(s) and briefly describe your involvement.
15. Are you or have you been involved in any local, civic, or community groups here in Lansing or another community?*
 Yes                No
16.  If so, which one(s) and briefly describe your involvement.
 17. What in your experience makes you qualified to be a Human Relations Commissioner? (250 words or less)*
18. What would you personally hope to accomplish in the role of a Human Relations Commissioner? (250 words or less)*
19. Identify two (2) goals for the success of the Lansing Human Relations Commission and describe why each is important. (500 words or less)*
20.  Please upload a resume in addition to your application (not required, but strongly encouraged). (Maximum size allowed = 5 MB... Allowed types = .doc, .docx, .pdf)
21.   I attest that the information I have provided on this application is accurate and true.*