Bellevue Essentials

Webform Application

First Name

Last Name

Email

Phone

Home Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Is mailing address same as home address?

Yes

No

Mailing Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Demographics

Application Instructions

Please answer each question thoroughly in approximately 100 words per question. Assistance with your application/essays is available on request. Contact Julie Ellenhorn at jellenhorn@bellevuewa.gov to request assistance and please indicate if you have a language or culture preference.

Essays can be typed or written as a separate word document or verbally in an MP3 audio file emailed to jellenhorn@bellevuewa.gov. Maximum of 100 words per question. If you prefer to send hard copy, mail to Julie Ellenhorn, City of Bellevue, Neighborhood Outreach, 450 110th Ave NE, Bellevue, WA 98004.

Essay Questions

Question 1: How have you been involved in your community? (Share where you have volunteered such as government, school, faith community or community service organizations and how it has impacted you.)

Question 2: Why do you want to participate in Bellevue Essentials and how do you hope to further your involvement or impact at the city or in your community? (Be specific and provide details such as education, establishing connections, what you hope to do when you finish Bellevue Essentials.)