Communities of Opportunity Evaluation Advisory Group (EAG) application
Thank you for your interest in serving on the Communities of Opportunity (COO) Evaluation Advisory Group (EAG)!

PLEASE NOTE: Information provided on this form will be a public record subject to free and open examination by any person under the Washington State Public Records Act (RCW 42.56.250). However, while we will disclose the applicant’s name, the applicant’s address, phone number and email address will be redacted.

Applications will be considered on a rolling basis. Questions? Email info@coopartnerships.org 
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Name (First, Middle Initial, Last) *
Email address *
Phone Number *
Job Title (for example, Data & Evaluation Manager; Advocacy Director; etc.) *
Organization Name *
Preferred Mailing Address of Organization (including City, State & Zip Code) *
Physical Address (including City, State & Zip Code). REQUIRED if different from preferred mailing address.
Organization Phone Number *
King County Council District of  residence (You can find your district here: https://kingcounty.gov/depts/elections/elections/maps/find-my-districts.aspx) *
Name the geographic areas where your work takes place (e.g. cities/neighborhoods):    *
Who are the focal communities or populations of your work? *
What COO result area(s) is your organization addressing? (select all that apply)      *
Required
How did you learn of this opportunity?
Are you a member of a COO funded Place-Based or Cultural Community Partnership? If so, please indicate which partnership: *
Is your organization a current or past grantee of COO's Systems & Policy Change strategy? *
Is your organization a current or past grantee of COO's Learning Community strategy? *
Why are you interested in being a part of the EAG? *
What is your role or expertise with respect to COO's result areas: health, housing, economic justice and/or community connection/civic engagement? *
What experience or expertise do you have with policy, systems, and environmental-level change? *
What is your role or expertise in evaluation? If applicable, please describe your role in evaluation, evaluating the work of your organization, and/or evaluating policy, systems, environmental-level change efforts. *
Anything else that you would like us to know?
Agreement and Signature (required)
Applications are due 11:59 p.m. on May 17, 2023. If you need the application in alternate formats, or
if you have questions about the application, please contact: whjohnson@kingcounty.gov

By submitting this application, I affirm that the facts set forth in it are true and complete to the best of my knowledge. Please date and sign your application:
Signature (please type your name): *
Date of Submission *
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Thank you! We will follow-up with all applicants by the end of February.
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