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La Crosse County Civilian Review Board Application
Please submit this form by the May 17, 2024, deadline.
1.
Your Name
2.
Phone Number
3.
Home Address (street, city, zip)
4.
E-mail
5.
Occupation
6.
The Civilian Review Board (CRB) shall strive to have a diverse composition in the following intersectional areas of lived experience and identities:
Homelessness
Mental health
Substance abuse
Members of the LGBTQ+ community
Racial and ethnic diversity, including: Black, Asian, Latin (o/a/e/x), Native American, and/or Multi-racial
Experience with the criminal justice system
In addition, the Criminal Justice Management Council and County Board Chair will consider the following lived experiences and identities when making appointments: age, socioeconomic status, gender, geographic residence, and work experience. Individual members may represent more than one of the categories listed above. The information requested in the following list will help to ensure that the CRB includes the desired diversity. If you feel comfortable, please choose any of the experiences and identities that apply to you:
Homelessness
Black
Asian
Latino/Latine/Latinx
Native American
Multi-Racial
Mental Health
Substance abuse
Arrest or conviction records
Members of the LGBTQ+ community
Experience with the Criminal Justice System
Other (please specify)
7.
Please describe your knowledge of the criminal justice system.
8.
Please describe your interest and what you feel you can bring to this committee, including things like interest in the committee's work, any lived experiences and understanding of law enforcement.