Portland PSAC General Membership

Portland Public Safety Action Coalition (PSAC) General Membership Application Form

Name*
First Last
Email*
Enter Email Confirm Email
Phone*
Affiliation(s)

(This field is optional.) Please separate affiliations with a semi-colon.
Your neighborhood*
Where in Portland, Oregon do you live?
Do you live, work, attend school, own property, own a business, or worship in Portland, Oregon?*
- Yes
- No
Please describe . . .*
Describe how or where you work, attend school, own property, own a business, or worship in Portland, Oregon.
How did you learn about Portland PSAC?*
What are your primary public safety concerns?*
My area of involvement will be to serve on the following committee(s)*
- Advisory Committee (review and recommend action items to the Board)
- Communications (media relations, social media development, and community outreach)
- Government Relations (networking and political candidates and leaders)
- Research (as needed to support action initiatives)
Additional comments
Comments
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