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Hispanic Advisory Committee Application

  1. Do you live in Newport News?*

  2. Do you work in Newport News?*

  3. Please select the age group that best describes you.*

  4. Please select the highest educational experience attained.*

  5. Please include dates.

  6. The Committee currently meets quarterly in the evenings. Are you available to meet at this time?*

  7. Please select all areas in which you have previous experience.

  8. Please select all areas in which you show an interest.*

  9. Leave This Blank:

  10. This field is not part of the form submission.