Name

 *

Name

First name

Last name

Address

 *

Address

Street address

City

State(Select State) Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

ZIP code

Phone number

 *

Phone numberext.

Email

 *

Email

Current employer

 *

Current employer

Job title

 *

Job title

Job duties

 *

Job duties

Work address

 *

Work address

Street address

City

State(Select State) Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

ZIP code

Work phone number

 *

Work phone number

Work email

Work email

If representing an organization, please list the organization name, address, website and phone number.

If representing an organization, please list the organization name, address, website and phone number.

Qualifications

Provide answers to the following questions and statements to help us assess your qualifications for a position on the Police Multicultural Advisory Committee.

Explain your connection to the City of St. Louis Park and your desire to work as an advocate for the St. Louis Park Police Department and the community it serves.

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Explain your connection to the City of St. Louis Park and your desire to work as an advocate for the St. Louis Park Police Department and the community it serves.

Describe the cultural, ethnic or other group you identify with and wish to represent on the Police Multicultural Advisory Committee.

 *

Describe the cultural, ethnic or other group you identify with and wish to represent on the Police Multicultural Advisory Committee.

Identify the primary language(s) used by the group you identified in your response to question two. Are you fluent in these languages?

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Identify the primary language(s) used by the group you identified in your response to question two. Are you fluent in these languages?

Participation in the Police Multicultural Advisory Committee will require attendance at monthly meetings, additional time to prepare for meetings, time to relay information to and from the group you identified in your response to number two, and work on committee projects. Do you have the time to spend on these activities?

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Participation in the Police Multicultural Advisory Committee will require attendance at monthly meetings, additional time to prepare for meetings, time to relay information to and from the group you identified in your response to number two, and work on committee projects. Do you have the time to spend on these activities?

Are you willing to have open and sometimes uncomfortable conversations regarding the group you identify with in attempts to better the understanding between police and the community?

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Are you willing to have open and sometimes uncomfortable conversations regarding the group you identify with in attempts to better the understanding between police and the community?

Briefly describe any other qualifications, experiences or other information you believe may be relevant to the position you are seeking.

 *

Briefly describe any other qualifications, experiences or other information you believe may be relevant to the position you are seeking.

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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