CMAP: Chicago Metropolitan Agency for Planning

APPLICATION FOR MEMBERSHIP ON THE CITIZENS' ADVISORY COMMITTEE OF THE CHICAGO METROPOLITAN AGENCY FOR PLANNING (CMAP)

All fields are required except where marked "optional."

First name	Last name
Address
City/Village	County
ZIP Code
Phones (Home) (Office) (Cell)
Email
Ethnic background (optional)
Race (optional)
Gender Male Female	Age
Membership or affiliation with any advocacy group(s) or organization(s). Please describe the subject of advocacy and the nature of your involvement:
Profession or Occupation
Title
Employer
How long?
Highest eductation level
Education details (optional)
Special skills
Foreign language
Community involvement activities
Special interests or hobbies
Background Relating to Land Use or Transportation
Describe briefly why you would like to be on the Citizens'Advisory Committee
Availability for Meetings Weekdays during day Evenings Weekends
Would you like to be added to the CMAP mailing list regardless of whether you are selected to serve on the Citizens' Advisory Committee? Yes No
If you encounter a problem with this form, please call 312-386-8740 for assistance.