Portland Harbor Community Grant Review Committee Interest Form

The Portland Harbor program invites community members to serve on this year's Grant Review Committee. Portlanders who represent communities disproportionately affected by the contamination and cleanup are strongly encouraged to submit a form. Disproportionately affected communities include Black, Indigenous, and People of Color (BIPOC); people with current, traditional or cultural connections to this stretch of the river; people who eat non-migratory shellfish and fish like carp, catfish, and bass caught in Portland Harbor; and housed and unhoused residents who live in neighborhoods near the Superfund site.

The panel will determine who receives grant funds this cycle based on their evaluation of proposals, conversations with selected applicants, and a consensus-based deliberation process.

Panelists must have scheduling flexibility for the following dates in 2024:

January 10
March 5
March 6
March 7
March 12
March 13
March 14
March 18
March 19
March 20

Interest forms are due 5 p.m., January 2, 2024.

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* 1. Please enter you contact information.

Name

Address

Email Address

Phone Number

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* 2. Please check all that apply

I have lived experience as a member of a community disproportionately affected by the Portland Harbor Superfund contamination and cleanup.

I work with communities disproportionately affected by the Portland Harbor Superfund cleanup and contamination.

I have previous experience participating in grant review processes.

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* 3. Tell us about your interest in serving on the grant selection committee for the Portland Harbor community grants. Please share any connections you have to Superfund-affected communities and what you hope to contribute to the grant review process. (Please limit your response to 350 words)

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* 4. What is your community or organizational affiliation?

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* 5. Have you previously been paid an honorarium to serve on a City of Portland advisory committee? If yes, please share how much and when.

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* 6. By checking this box, I understand and accept the terms listed on this webpage.

I acknowledge that all information provided in this form is true to the best of my knowledge, and I understand that any misstatement or misrepresentation may result in disqualification of my application.