Name: __________________________________________
Address: ________________________________________
City: ___________________ State: ________________ Zip Code: ____________
Phone Number: ___________________
Occupation: ______________________ Type of Business: __________________________
Business Address: _____________________________________________________________
(Check one or more.)
__Downtown Resident __Rent __Own Number of Years ____
__Downtown Worker Number of Years ____
__Property Owner Number of Years ____
Areas of Interest:
(Check as many as you like.)
___Safety/Crime ___Transportation ___Downtown Grocery Store
___Skyway Hours ___Downtown Greenspace/Parks ___Adult Entertainment Concerns
___Other Areas of Interest ___________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________
Background: (Example: Do you have specific experience, interests, abilities, expertise, or education? Have you served on other committees or belong to a group?)
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Time Commitment that you are Willing to Devote to the NRP Steering Committee--Number of hours per month: #_____
List Two Projects or Issues That You Think the Neighborhood Revitalization Program Should Address: (see other NRP projects)
1.________________________________________________________________________________________ ________________________________________________________________________________________ 2.________________________________________________________________________________________ ________________________________________________________________________________________
Signature: ______________________________________ Date: _________________
THE DOWNTOWNER -- Spring 1996 -- DMRA