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Police Reform Committee Application

  1. Committee Preference*

    Choose up to three (3).

  2. Please list professional, community, church, civic affiliations, or societal causes for which you have served the Dayton community. Include any office, committee, or leadership positions held, and the time of your affiliation.

  3. Describe your most significant career or civic achievement. Please be specific, including the primary goals set, how they were achieved, and your responsibility in establishing and achieving the goals.

  4. Describe your current job position, responsibilities, and how long you have held this position. Also describe your most memorable employment responsibility.

  5. Please list schools, fields of study, degrees earned, and conferences and/or training programs you have attended.

  6. Leave This Blank:

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