Welcome to Citizen Deer Advisory Council Application. Enter all the required fields to complete the application process. This form must be completed for every individual who is nominated to serve on the Citizen Deer Advisory Council. Personal information collected will be used for administrative purposes and may be provided to requesters to the extent required by Wisconsin’s Open Records law (ss. 19.31 – 19.39, Wis. Stats.). Please note these appointments are for the three-year cycle, not a three-year term.

Pursuant to Natural Resources Board Order #WM-24-13(3), a Citizen Deer Advisory Council shall be created to seek comments from members of the public on the status of the deer herd at the unit level. Each council is made up of specific nominated members who serves at the pleasure of and must be approved by the Secretary of the DNR.

Nominee Information:

First Name * Required Last Name * Required Middle Initials Mailing Address * Required City* Required State & Zip* IL MI MN WI Required Phone* Mobile Email Address* Invalid email address Required Unit of Residence* Select One... 101 102 103 105/106 107 110 111 112 113 115 116 117 118 120 121 122 124 125 126 Adams Barron Brown Buffalo Burnett/108 Calumet Chippewa Clark/202 Columbia Crawford Dane Dodge Door Dunn Eau Claire/201 Fond Du Lac Grant Green Green Lake Iowa Jackson/203 Jefferson Juneau/206 Kenosha Kewaunee La Crosse Lafayette Langlade/123 Lincoln/119 Manitowoc Marathon Marinette Marquette Menominee Milwaukee Monroe/205 Oconto Outagamie Ozaukee Pepin Pierce Polk Portage Racine Richland Rock Sauk Shawano Sheboygan St. Croix Taylor/114 Trempealeau Vernon Walworth Washburn/109 Washington Waukesha Waupaca Waushara Winnebago Wood/204 Occupation DNR Customer Number DNR Customer Number A DNR customer number is the number alloted to you during purchase of licenses with DNR Own property in another unit?* Yes No List counties aside from your unit of residence where you own property Do any members of your immediate family currently hold a position on this CDAC?* Yes No Have you been convicted of a hunting, fishing or trapping violation within the past five years?* Yes No Have you been on a Citizen Deer Advisory Council previously?* Yes No Unit Select One... 101 102 103 105/106 107 110 111 112 113 115 116 117 118 120 121 122 124 125 126 Adams Barron Brown Buffalo Burnett/108 Calumet Chippewa Clark/202 Columbia Crawford Dane Dodge Door Dunn Eau Claire/201 Fond Du Lac Grant Green Green Lake Iowa Jackson/203 Jefferson Juneau/206 Kenosha Kewaunee La Crosse Lafayette Langlade/123 Lincoln/119 Manitowoc Marathon Marinette Marquette Menominee Milwaukee Monroe/205 Oconto Outagamie Ozaukee Pepin Pierce Polk Portage Racine Richland Rock Sauk Shawano Sheboygan St. Croix Taylor/114 Trempealeau Vernon Walworth Washburn/109 Washington Waukesha Waupaca Waushara Winnebago Wood/204 Are you a member of any organizations, councils, government boards, etc.?* Yes No Name of Org & Position Stakeholder group you would be representing * Select One... Agriculture DMAP Forestry Hunt/Conservation Club Tourism Transportation Urban Club name Provide two or three references below   Name Phone Number Email Address   Invalid email address Invalid email address Invalid email address   In 250 words or less, list any formal affiliations you have with businesses or organizations that may represent the stakeholder group as indicated above Can't exceed 250 characters Describe in 250 words or less why you would be an exceptionally well-suited representative. Can't exceed 250 characters Please describe in 250 words or less, as a stakeholder representative, who would be the people you communicate with, and how would you go about conducting communication/outreach with your constituents? Can't exceed 250 characters

CDAC Member Responsibilities:
	The Citizen Deer Advisory Councils (CDAC) serve as advisory bodies to the Wisconsin Department of Natural Resources for the following purposes: To gather public opinion on deer population goals, antlerless quotas and herd management strategies. To review and consider scientific metrics on deer herd trends, impacts on habitat and agriculture and human-deer interactions. To provide the department with recommendations on deer population objectives, antlerless harvest quotas and herd management strategies
	To be effective, CDAC members must be able to do the following: Attend scheduled CDAC meetings; Speak knowledgeably on the interests of the stakeholder group that they are representing; Network within the stakeholder group they represent to gather and share information for and from CDAC meetings; Work collaboratively with other CDAC members to develop recommendations; and Listen respectfully to citizen comments regarding deer herd management.

Certification:
	By signing and submitting this application, I am certifying that all of the statements in this document are true and that I understand that a character and background check may be conducted.
	I request that my personal information not be disclosed in an open records request pursuant to s. 19.36(7)(b), Wis. Stats., to the extent legally allowed. I understand that should I be appointed to or become a finalist for this council that my personal information cannot be withheld, as defined by s. 19.36(7)(a), Wis. Stats.