Capital Region RPC 
Interest & Involvement Questionnaire

INSTRUCTIONS: Please select the option that best fits your interest. You may select all options if that is your preference.        
1.I would like to be considered for a Board Member slot.  
The RPC Board of Directors is comprised of multiple stakeholders who will review the work, recommendations and requests of the RPC. The Board sets the agenda for the RPC and will frame major strategic challenges with input from the RPC. (*Active Participation is expected in this role)
2.I would like to serve as a Committee Member
Committees will address specific issues and challenges of concern as identified by the RPC.  Committees have yet to be determined. 
3.I would like to receive RPC updates by email.
4.First Name
5.Last Name
6.Title
7.Organization
8.Street Address
9.City
10.Zip Code
11.County
12.Phone
13.Email