National Environmental Justice Advisory Council (NEJAC) Nomination Form

Nominations are NOW OPEN for NEJAC council membership and will close by the close of business on Friday, April 14, 2023. In addition to this form, please remember to submit 1-3 letters of recommendation and a resume via email to nejac@epa.gov with the subject line “NEJAC Membership 2023”. For more information, visit: https://www.epa.gov/environmentaljustice/nominations-nejac.

Full Name (First and Last) *

Organization/Affiliation *

Job Title *

Describe your role in the organization *

Address *

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Telephone Number *

E-mail Address *

Organization URL

Please indicate the stakeholder category you will be representing *

Statement of Interest: Provide a statement of interest describing why you want to serve on the NEJAC, include reasoning for what you can bring to the council. (500-Words Maximum) *

Brief Bio: Please provide a summary describing your professional and educational qualifications, including a list of relevant activities, and any current or previous service on advisory committees. (500-Words Maximum) *

Engaging Affected Communities: Pleas describe a time when your experience demonstrated your involvement with communities with environmental justice concerns. (500-Words Maximum) *

Understanding Environmental Justice and Relevant Issues: Please describe a time when your experience demonstrated your knowledge of issues related to environmental justice and other EPA priority issues at the national, state, tribal, and/or local level. (500-Words Maximum) *

Consensus Building: Please describe a time when your experience demonstrated your skills in consensus building; developing consensus advice; previous service on NEJAC or other federal/state/tribal advisory committees; working constructively and effectively on committees; participating in multi-stakeholder partnerships or engaging in collaborative governance initiatives. (500-Words Maximum) *

Communication Skills: Please describe a time when your experience demonstrated your oral and written communication skills. (500-Words Maximum) *

Availability: Please describe your availability to volunteer time to support the Council’s activities. Are you available to attend 4-6 public meetings, and dedicate 20-25 hours monthly participating in 2 or more workgroups and their activities? (500-Words Maximum) *

Please tell us how you learned about this opportunity (500-Words Maximum) *