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2. The Unity Days Committee has been formed by the City Manager, in order to plan an annual community event, or series of activities comprising a community event, referred to as “Unity Days”. Unity Days is an undertaking of the City of Charlottesville, and as the official in charge of City property and the expenditure of City funds, the City Manager and staff selected by him/her are ultimately responsible for planning and carrying out Unity Days. However, the City Manager has directed that volunteer members of the public should participate in making decisions regarding the activities to be included as part of Unity Days. Together, City staff and volunteer members of the public are referred to as the “Unity Days Committee” (UDC).
   Note: The information on this page may be released to the general public pursuant to a Freedom of Information Act request.
4. Applicant Name*
5. City Resident?*

   1. Yes

   1. No

   Residency is not a requirement.
7. City
8. How long have you lived in the City of Charlottesville?
   Number of Years
10. Schools Attended, Degrees, Graduation Dates
12. Memberships in fraternal, business, and/or social groups?
14. Public, civic and charitable offices and/or activities?
16. Interests aside from profession?
18. Reason for wanting to serve on the Unity Days Committee?*
22. Note: The following information will be classified as personnel information pursuant to Virginia Code Section 2.2-3705.1 and the City will not release this information to the general public pursuant to a Freedom of Information Act request.
24. Address*
26. City*
27. State*
28. Zip Code*
30. Previous Address*
32. City*
33. State*
34. Zip Code*
38. Occupation & Title*
39. Employer*
41. Business Address*
43. City*
44. State*
45. Zip Code*
47. Phone
48. Email*
Leave This Blank:


50. 1. Receive an email copy of this form.
51. Email address

    This field is not part of the form submission.

52. Submit

* indicates a required field