Together We Rise Advisory Committee Application

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City Province Postal Code

Phone(Required)

Email(Required)

Do you identify as Black or of African descent?(Required)

This committee will consist of a maximum of 13 community members in Hamilton. Recruitment is open only to Black members of our community.

Are there additional ways that you identify?

Are you applying as a youth?

As a youth, do you require any volunteer hours or possible references that we can assist you with?

Do you attend a secondary or post-secondary school? If yes, what school?

Are you applying as an elder?

Why are you are interested in serving as Member on the Together We Rise AC?(Required)

Please elaborate on what skills, personal knowledge, lived experience, specialized training, and awareness that you can bring to the overall community of Black Hamiltonians and the TWR AC.

If you became a TWR AC Member, what impact would you like to see the TWR Initiative have on the Hamilton Community?(Required)

Please indicate how you have demonstrated a commitment to dismantling anti-Black racism?

OPTIONAL: You are welcome to attach your resume, if you have one

Accepted file types: pdf, doc, docx, Max. file size: 16 MB.

In House

In Community