Seattle Renter's Commission (SRC) Application

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Information provided in this survey is considered a public record and may be subject to public disclosure. For more information, see the Public Records Act, RCW Chapter 42.56. To learn more about how we manage your information, see our Privacy Statement.

* 1. What is your email address?

* 2. What is your first name?

* 3. What is your last name?

* 4. What is your phone number?

* 5. What is your street address?

* 6. What is your Council District?

* 7. Who is your employer?

* 8. What is your primary occupation or expertise?

* 9. Are you currently under contract with the City of Seattle?

* 10. Are you a renter in the City of Seattle? (The Seattle Renter's Commission requires members to be current rental property tenants in the City of Seattle)

* 11. Tell me more about yourself.  Include any community advocacy, civic engagement, or organizational affiliations.

* 12. Please describe why are you interested in serving on the Seattle Renter's Commission?

* 13. SRC members seek members who represent the diverse experiences of renters in the City of Seattle.  Please describe how your experience as a renter might lend a unique perspective to the Commission.

* 14. Please describe your race/ethnicity.

* 15. Please describe your gender identity

* 16. Please Agree with the following statement: “I certify that the above application information is accurate and complete to the best of my knowledge. I understand that the information provided is subject to public records request unless it is specifically exempt from the Washington State Public Records Act.” *

100% of survey complete.