Advisory Council Application | Napa/Solano Area Agency on Aging

Street Address (Home)

Please indicate the category for which you are applying and your category affiliation (if applicable):

Representatives of older individuals

Representative of health care provider organizations, including providers of veterans’ health care

Representatives of supportive services provider organizations.

Persons with leadership experience in the private and voluntary sectors.

Local elected officials

Family caregiver representative

The general public

Supervisorial District in which you reside

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The following links can be used as a reference for Supervisorial District information:

Solano County:
http://www.solanocounty.com/depts/rov/district_maps_and_lookup/districtlookup.asp

Napa County (select “My District” from the link below): https://www.countyofnapa.org/2116/Board-of-Supervisors

The Advisory Council meets monthly on the first Tuesday of the month. Meetings are held from 10:00 am – 12:00 noon. Meeting locations are in Napa and Solano Counties. Members may be asked to attend quarterly meetings of the AAA Oversight Board and monthly subcommittee meetings.

Please indicate any obstacles you may have with regard to meeting attendance (example: “I am not able to meet on Mondays or Wednesdays”):

Memberships in other organizations or committees or other community participation (list name and address and nature of organization/committee or community participation):

Please provide a brief description of your employment and educational history (you can also upload your resume or CV)

Three References

Why do you want to serve on the Advisory Council?

Applicant's Signature

Sign above