Packaging Producer Responsibility Advisory Board Application Please enable JavaScript in your browser to complete this form.12Start by answering the question below to take you to the appropriate form. Complete the form, then click “Submit.” Please select the applicable response: [Can only select one] *I am applying through self-nomination (all other positions)I am applying through nomination by a statewide association/organization**Select this response if you are applying to one of the following positions on the Advisory Board: • Representative nominated by a statewide city association • Representative nominated by a statewide association representing the grocery sector. This board member shall be a nonvoting member. *If you select this response, you will be required to attach a letter of nomination from the organization on official organization letterhead as part of your application form.Next(1) APPLICATION FOR SELF-NOMINATION (Please complete all questions)(2) APPLICATION FOR CANDIDATES NOMINATED BY A STATEWIDE ASSOCIATION/ORGANIZATION (Please complete all questions)1. Name: *2. Email: *3. Phone Number: *4. Mailing Address: *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code5. Job Title: *6. Organization: *7. Please attach your resume here:Acceptable formats: pdf, word doc.8. Please select which membership category you are applying to fill. You will be asked in Question 9 to provide a thorough justification as to why you are qualified to serve under the specific membership category. Your current professional role(s) must be appropriate to the category you are applying to represent. *Representative from an ocean advocacy organizationRepresentative from an environmental justice organizationRepresentative of a recycling service provider, or a representative of an association of recycling service providersRepresentative from the composting industry operating in the State of CaliforniaRepresentative of each of four manufacturers of covered materials of different material types using postconsumer recycled content. [This Advisory Board member shall not be board members of a producer responsibility organization (PRO)]Note: If you do not see the membership category you are looking for (nominated by a statewide association), please start a new application from the application home page. 8. Please select which membership category you are applying to fill. You will be asked in Question 9 to provide a thorough justification as to why you are qualified to serve under the specific membership category. Your current professional role(s) must be appropriate to the category you are applying to represent. *Representative nominated by a statewide city associationRepresentative nominated by a statewide association representing the grocery sector9. Please describe your qualifications to represent the specific membership category you selected in Question 8. *10. What qualifications and experience do you have that would provide value to the Advisory Board when advising on implementing SB 54? *11. What is your vision for how the Advisory Board will meet its duties, as defined in statute, to identify barriers and solutions to creating a circular economy and advising on implementing SB 54? *12. Have you read and understood PRC 42070, reviewed the roles and responsibilities indicated in the letter of solicitation, and verified that you will have the availability and capacity to meet the requirements of this position? 12. Have you read and understood PRC 42070 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=42070.&lawCode=PRC), reviewed the roles and responsibilities indicated in the letter of solicitation, and verified that you will have the availability and capacity to meet the requirements of this position? *YesNoSelect one.12.a. Please list the following information on the nominating organization: Organization name *12.b. Contact information for nominating individual (name, email address, phone number) *12.c. Relationship to organization *13. Please attach your nomination letter. *Acceptable formats: pdf, word doc.14. Have you read and understood PRC 42070, reviewed the roles and responsibilities indicated in the letter of solicitation, and verified that you will have the availability and capacity to meet the requirements of this position?14. Have you read and understood PRC 42070, reviewed the roles and responsibilities indicated in the letter of solicitation, and verified that you will have the availability and capacity to meet the requirements of this position?YesNoSelect one.PreviousSubmit We collect personal information in this form. Learn more in our Notice on Collection.