Application for the standing Bicycle and Pedestrian Advisory Committee (BPAC)

Mission Statement

The mission of the Bicycle and Pedestrian Advisory Committee (BPAC) is to continuously guide the development and implementation of the Bicycle and Pedestrian facilities that provide complementary amenities and healthful transportation choices to the citizens of San Leandro.

Question Title

* General Information

Name

Home Address

Years Resided in San Leandro

Home Phone

E-mail Address

Occupation

Business Name

Business Address

Work Phone

Question Title

* Interests
Please provide a statement on why you are interested in serving on the BPAC.

Question Title

* Special Skills or Qualifications
Summarize special skills and qualifications you have acquired from employment, volunteer work, or through other activities, including hobbies or sports.

Question Title

* Affiliations
What organizations are you affiliated with and what is your role?

Question Title

* Availability
The BPAC will be meeting at least twice a year. Meetings will likely be on Wednesday evenings. Are there any constraints in your ability to attend these meetings? If yes, please explain.

Question Title

* Agreement and Signature
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a member of the BPAC, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

Signature

Date

Application Submittal

Questions? Call (510) 577-3433 or e-mail smarquises@sanleandro.org.

City of San Leandro
Engineering and Transportation Department
835 East 14th Street
San Leandro, CA 94577

Application for the standing Bicycle and Pedestrian Advisory Committee (BPAC)

Mission Statement

Question Title

* General Information

Question Title

* Interests Please provide a statement on why you are interested in serving on the BPAC.

Question Title

* Special Skills or QualificationsSummarize special skills and qualifications you have acquired from employment, volunteer work, or through other activities, including hobbies or sports.

Question Title

* AffiliationsWhat organizations are you affiliated with and what is your role?

Question Title

* AvailabilityThe BPAC will be meeting at least twice a year. Meetings will likely be on Wednesday evenings. Are there any constraints in your ability to attend these meetings? If yes, please explain.

Question Title

* Interests
Please provide a statement on why you are interested in serving on the BPAC.

* Special Skills or Qualifications
Summarize special skills and qualifications you have acquired from employment, volunteer work, or through other activities, including hobbies or sports.

* Affiliations
What organizations are you affiliated with and what is your role?

* Availability
The BPAC will be meeting at least twice a year. Meetings will likely be on Wednesday evenings. Are there any constraints in your ability to attend these meetings? If yes, please explain.