Chester County Commissioners' Office

313 West Market Street, West Chester, PA 19380

610-344-6000

Chester County Authorities, Boards and Commissions Interest Survey

Name

Are you a resident of Chester County

Select the municipality where you live

Do you work in Chester County

Select the municipality where you work

Why are you interested in serving?

Attach Resume

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The responses to the following questions are confidential and help support the County’s efforts to have an equitable and diverse representation of its residents on authorities, boards and commissions.

Age Group

To which gender identity do you most identify?

How would you describe yourself? (Select all that apply)

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Ethnicity

Hispanic

Non-Hispanic

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