Board Member Application

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First Name *

Last Name *

Email *

Phone number *

Agreement

I can attend board meetings the first Tuesday of each month from 7:30 p.m. to 8:30 p.m. *

Yes

I am willing to commit to attend at least 50% of board meetings per year. *

Yes

I am willing to commit to attend 25% (or up to 4, whichever is less) of all BFFW events per year. *

Yes

I agree to sign an annual statement and abide by the Bike Friendly Fort Worth Conflict of Interest Policy which states that no member shall derive any personal profit or gain, directly or indirectly, by reason of his or her participation with BFFW. *

Yes

Background

Are you a public official or public sector employee?

Yes

Clear selection

Are you an LCI? *

Yes

I reside in Fort Worth City Council District (http://oneaddress.fortworthtexas.gov/)

2 - Council Member, Carlos E. Flores

3 - Council Member, Brian Byrd

4 - Council Member, Cary Moon

5 - Council Member, Gyna Bivens

6 - Council Member, Jungus Jordan

7 - Council Member, Dennis Shingleton

8 - Council Member, Kelly Allen Gray

9 - Council Member, Ann Zadeh

I do not reside within Fort Worth

Clear selection

Have you ever contacted a city council member?

Yes

Clear selection

Short Answer Questions

Tell us about one of the bikes you own and what kind of cycling you usually do.

What are some of your favorite areas to cycle in Fort Worth?

What's one thing you would like to share with your fellow cyclists?

What's one thing you would like to share with your fellow motorists?

How do you feel you can contribute to Bike Friendly Fort Worth? *

Where would you like to see Bike Friendly Fort Worth in 10 years? *

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