On May 2, 2022, the Albany City Council adopted Resolution No. 2022-31, establishing a Policing Commission.

Please complete both the online Advisory Body Application and this Supplemental Questionnaire to be considered for appointment by the City Council to the Policing Commission. Please read information on the Policing Commission including the origin, purpose, composition and meeting frequency on the Policing Commission web page prior to completing the application and this supplemental questionnaire.

Applications will be reviewed on an ongoing basis for appointment and applicants recommended for appointment to the Commission shall be ratified by the City Council. 

(Please note that records related to the Commission, including this application and supplemental questionnaire containing your responses, may be subject to disclosure under the California Public Records Act or the federal Freedom of Information Act. We will make efforts to maintain confidentiality of personal contact information contained herein to the fullest extent allowed by law but cannot guarantee any confidentiality.)

You are filling out the supplemental questionnaire for which Advisory Body?

You are filling out the supplemental questionnaire for which Advisory Body?

Personal Information:

Personal Information:

Name (Last, First)

Preferred Email

Diversity indicators: Please answer as you feel comfortable, knowing that these responses will be publicly available. You are not required to provide this information and, if you choose to respond, are doing so voluntarily without any expectation of privacy in any of the information shared. You may choose to respond to only some of the questions.

1. Role in the community (check all that apply)

1. Role in the community (check all that apply)

Business Owner

Youth (25 years and younger)

Senior (65 years and older)

Student (fill in school and grade level below) If other, type text here.

Parent

Faith-based community leader

Resident of Albany

Immigrant/Emigrant

Other If other, type text here.

2. Gender Identity/Expression:

2. Gender Identity/Expression:

3. Disability or Chronic Health Condition:

3. Disability or Chronic Health Condition:

4. Race:

4. Race:

5. Social-Economic status:

5. Social-Economic status:(Select an Answer) Annual income over $250,000 Annual income between $150,000 - $250,000 Annual income between $75,000 - $150,000 Annual income below $75,000

6. Languages spoken (check all that apply)

6. Languages spoken (check all that apply)

English

Spanish

Mandarin Chinese

Tagalog

Korean

Japanese

Other: If other, type text here.

7. Self identity description: 

7. Self identity description:

8. Employment Status:

8. Employment Status:

Employed full-time

Employed part-time

Unemployed and looking for employment

Unemployed and not looking for employment

Self-employed

Retired

Prefer to self-describe: If other, type text here.

9. Housing Status:

9. Housing Status:

Own

Rent

Co-living

Unhoused

Prefer to self-describe: If other, type text here.

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