Northeast District Plan Community Advisory Committee Interest Form

The objective of the Collaborative Northeast District Plan is to address historical inequities and foster inclusive development in northeastern Travis County. The initiative is a joint effort between Travis County and the City of Austin to look at inequities and disinvestments around public transportation, housing, displacement, infrastructure, economic development, food access, and more.

The Northeast District Plan Community Advisory Committee (CAC) will help guide planning for the Northeast District Plan area. CAC members will share community perspectives, help identify community needs, and support outreach to residents, businesses, organizations, and other stakeholders connected to the area.

The CAC may be up to 20 members: 10 selected by Travis County and 10 selected by the City of Austin. Five of the City-selected seats will be filled by representatives from the key stakeholder organizations named in the Interlocal Agreement. This interest form is for the remaining applicant-selected seats.

Your responses will be used to help select a CAC that reflects the geography, experiences, and diversity of the Northeast District Plan area community.

This form should take about 15 minutes to complete.

Date of Submission

Date

Name

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Best way to contact you

Other

Primary language

Other

How are you connected to the Northeast District Plan area? Check all that apply.

Please briefly describe your connection to the Northeast District Plan area.

For example, you may describe where you live, work, visit, worship, provide services, own a business, attend school, or have family/community ties.

What neighborhood, area, subdivision, neighborhood, apartment complex, mobile home community, school, or place of worship are you connected to?

You do not need to provide an exact home address. You may provide a neighborhood name, nearby intersection, general area, or approximate location.

Is your connection mostly within

Do you currently rent or own your home?

What type of housing best describes your current situation?

Have you experienced housing challenges connected to the Northeast District Plan area? Check all that apply.

Please describe any housing experience or perspective you would bring to the CAC.

Why do you want to serve on the Northeast District Plan Community Advisory Committee?

0/150

Please briefly describe any skills, community knowledge, or experience you would bring to the CAC.

Are there residents, groups, or networks you could help share information with? (For example, schools, neighbors, renters, mobile home residents, apartment tenants, parents, elders, youth, small businesses, faith communities, or groups that may not usually participate in public planning processes.)

Please describe

What topics are you interested in? Check all that apply.

Are you affiliated with or directly involved in any community organizations, stakeholder groups, or local networks in the Northeast District Plan area?

Please list the organization, group, or network and briefly explain your affiliation

This may include a neighborhood association, faith-based group, school, nonprofit, business, tenant group, mobile home community, advocacy group, or other community connection.

Age range

What experience do you bring? Check all that apply.

Race / ethnicity. Check all that apply.

Do you identify with any of the following? Check all that apply.

Can you commit to attending regular CAC meetings?

Can you spend some additional time outside meetings for community outreach, preparation, or working groups?

What meeting times usually work best for you? Check all that apply.

What would make it easier for you to participate? Check all that apply.

Please describe any accessibility accommodations you may need:

Are you currently an employee, contractor, consultant, board member, or official representative of the City of Austin, Travis County, or a consultant working on the Northeast District Plan?

Please explain

Is there anything else you would like us to know about your interest in serving on the CAC?

The information you provide on this application will allow you to be considered to serve as a community member representative on the Northeast CAC as part of the Northeast District planning process for the Northeast District Plan area (the Process).

The Process will work with a diverse set of stakeholders, technical experts, and partners to produce a vision for the future of the Northeast District Plan area that is informed by continual community engagement.

The Northeast Community Advisory Committee (the CAC) will be active partners with the Collaborative Working Group in the Northeast District Planning process.

Working in with a consultant and Working Group members, the CAC will:

Create a Collaborative Engagement Plan (CEP) that builds upon previous work that includes communication and feedback loops to inform continued design and implementation of the Northeast District Plan.
Based on community engagement results, provide input and make recommendations on items related to the Northeast District Plan including:
- Confirmation and prioritization of needs and gaps identified in Analysis produced by the Working Group
- Prioritization of List of Projects, produced by the Working Group, that could address needs and gaps identified in the Analysis

The Commissioners Court and City leadership will have final approval of the Northeast District Plan and other recommendations from the CAC.

Please review and sign below no later than August 31, 2026. Failure to respond by this date may remove you from consideration for the Northeast Community Advisory Committee.

I attest that the information I provided on the Northeast Community Advisory Committee interest form and any follow up interviews is true and accurate to the best of my knowledge and I understand that falsification of the information may disqualify me from serving on the CAC, if I am recommended.

Signature

Name

First NameLast Name

Date

Northeast District Plan Community Advisory Committee Interest Form

Contact Information

Connection to the Northeast District Plan Area

Housing Perspective

Community Experience and Perspective

Skills, Knowledge, or Issue Areas

Community / Stakeholder Connections

Generational and Community Representation

Optional Demographic Information

Participation and Availability

Participation Supports

Conflict of Interest / Public Agency Connection

Self Attestation