Personal Interest Questionnaire
Date:
Name:
Address:
Email Address:
Home Phone #
Work Phone #
Cell Phone #
Fax #
1.   Are you a resident of Bayview Hunters Point?
Yes:
No:
2.   Do you have a business/professional or
personal  interest/investment  in the community?  
If yes, please describe:
Yes:
No:
3.  Please list any professional and or community affiliations:
4.  Please briefly explain why you want to serve on the HPS CAC:
5.  Additional information you would like to share for consideration.
Please forward a current resume with any
addtional inforamtion you would like to share  
to info@hpscac.com or
P.O. Box 885063 S. F. CA 94188
Hunters Point Shipyard Citizens Advisory Committee
If you're interested in becoming a member of the HPS CAC
please complete the
"Personal Interest Questionnaire" below or
download a PDF version and forward it to:

CAC Administrative support
P.O. Box 885063
San Francisco, CA 94188
info@hpscac.com