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City of Asheville Community Reparations Commission
Support Individual/Organization Interest Form
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1.
Support Individual/Organization Contact Information
(Required.)
Name of Primary Contact
Title
Organization
Email Address of Primary Contact
Phone Number of Primary Contact
*
2.
In what way(s) are you interested in supporting the City of Asheville's Community Reparations Commission? Check ALL that apply.
(Required.)
Research
Data
Personal testimony
Endorsement
Other (please specify)
3.
Additional Comments:
CERTIFICATION
I understand that the submission of this interest form does not guarantee that the Community Reparations Commission will be able to take advantage of the support offered.
*
4.
Signature of Interested Support Individual/Organization
(Required.)
Name
Date
