Stakeholder Group Application
1 The Stakeholder Group will include up to 10 community members representative of a cross-section of Cupertino residents. It is anticipated that the Stakeholder Group will have three meetings throughout the Housing Element update process. Meetings will include discussions of possible housing site locations, policy for increasing probability that future units will include an appropriate ratio of affordable units, and general topics related to drafting updates to Cupertino’s Housing Element in the General Plan.
1. Name _______________________________________________________ ____
2. Email address _____________________________________________ _______
3. Physical address __________________________________________ ________
4. I am interested in contributing to the discussion for Cupert ino’s Housing Element update process.
○ Yes
○ No
○ Maybe, I need more information
5. I would like to be an ambassador to share information about Cupertino’s Housing Element update process.
○ Yes
○ No
○ Maybe, I need more information
6. I am willing to commit, on average, 8 hours for each Stakeho lder meeting (3-5 anticipated meetings) to prepare for discussing many different aspects of the Housing Element update.
○ Yes
○ No
○ Maybe, I need more information
Stakeholder Group Application
2 7. I believe that I should be considered as a candidate for Cup ertino’s Stakeholder group for the Housing Element update.
○ Yes
○ No
○ Maybe, I need more information
8. Please state in less than 200 words why you are qualified to be a member of Cupertino’s Stakeholder group (please use back of page if additional space is needed for writing).
Stakeholder Group Application
3 9. Have you participated in a policy advisory group either in C upertino or another location? ○ Yes
○ No
○ If yes, what role and where?
10. Please check all of the following that apply to you:
○ Renter
○ Property owner
○ Major employer
○ Small business owner
○ Landlord
○ School Employee
○ Service Industry employee
○ Long-term Cupertino resident
○ Recent resident
○ Faith-based organization Leader
○ Parent group Leader
○ Older Adult
○
Lived experience of being unhoused
○ Non-profit housing developer
○ De Anza Community College student
○ Advocacy Group Leader
8. Do you speak a language in addition to English? (check all that apply) ○ No
○ Spanish
○ Russian
○ Chinese
○ Vietnamese
○ Hindi
○ Other?