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City of Santa Ana
Environmental Justice Action Committee – Resident Application
Santa Ana residents are invited to apply to be part of the Environmental Justice Action Committee. The purpose of the committee is to collaborate on the implementation of the General Plan Environmental Justice (EJ) policies and actions. If you are interested in being part of this committee complete this form.
Name
(Required)
First
Last
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Phone
(Required)
Email
(Required)
Occupation
(Required)
Age
(Required)
0-17
18-25
26-35
36-45
46-55
56-65
66 +
Educational Attainment
(Required)
Less than 9th Grade
9th - 12th Grade, No Diploma
High School Graduate
GED/Alternative Credential
Some College/No Degree
Associate Degree
Bachelor's Degree
Graduate/Professional Degree
Neighborhood
(Required)
Artesia Pilar
Bella Vista
Bristol Memory Coalition
Bristol Warner
Casa Bonita
Casa de Santiago
Cedar Evergreen
Centennial Park
Central City
Concord
Cornerstone Village
Delhi
Downtown
Edna Park
Fairbridge Square
Fairhaven
Fisher Park
Floral Park
Flower Park
French Court
Grand Sunrise
Heninger Park
Historic French Park
Lyon Street
Logan
Laurelhurst
Lacy
Mabury Park
Madison Park
Mar-Les
Meredith Parkwood
Metro Classic
Mid-City
Morning Sunwood
Morrison Park
New Horizons
Northwest
Pacific Park
Park Santiago
Pico-Lowell
Portola Park
Republic Homes
Riverglen
Riverview
Riverview West
Rosewood Baker
Saddleback View
Sandpointe
Santa Ana Triangle
Santa Ana Memorial Park
Santa Anita
Shadow Run
South Coast
Sunwood Central
Thornton Park
Valley Adams
Washington Square
West Floral Park
West Grove Valley
Willard
Wilshire Square
Windsor Village
Windsor Village North
Young Square
Not within a neighborhood association
Questions
1) Which EJ cluster do you live in?
If you do not know, refer to the
Disadvantaged Communities and Neighborhood Locator Map
. If you do not reside within an EJ cluster then you are not eligible to apply.
West Cluster
Central Cluster
Northeast Cluster
Southeast Cluster
Southwest Cluster
2) How many years have you been living in Santa Ana? What community involvement have you had in the City?
(Required)
Provide information about yourself and volunteerism in the community.
3) What is your most recent experience and/or active participation with the General plan and EJ issues?
(Required)
4) Environmental Justice policies are referenced in the General Plan. Based on your experience select your top three General Plan Elements from the Environmental Justice Implementation Actions that the EJ Committee should prioritize for 2023.
(Required)
To view the General Plan Environmental Justice Implementation Actions
click here
.
Community Element
Conservation Element
Land Use Element
Mobility Element
Open Space Element
Safety Element
Public Services Element
Economic Prosperity Element
Historical Preservation Element
5) If selected to be part of the EJ Action Committee, will you be able to commit to meet regularly (approximately 5 hours per month) for a period of two and a half years from October 2023 - March 2026?
(Required)
Yes
No
6) Provide up to three recommendations that would help establish an inclusive community engagement process for the EJ Action Committee.
(Required)
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