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EPW - Odor Notification Form

Public form to report odors to Wastewater Utility.

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MM slash DD slash YYYY
Time of Incident(Required)
:
Name
Address

New Website Survey

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Name(Required)

Request an Inspection

Community Development Form for requesting an inspection.

This field is for validation purposes and should be left unchanged.
Starts with BLD, UTL, ROW, or BND and is followed by an 8-digit number. Example = BLD20170123
YYYY dash MM dash DD
Contact Name(Required)

Pools Contact Form

Web form for public contact for the Juneau Pools.

This field is for validation purposes and should be left unchanged.
Name(Required)

Connect with City Hall

Public Comment Form for CBJ Administration

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This comment is a(Required)
MM slash DD slash YYYY
Name(Required)
Address

ILL Signup

Form for users who want to sign up for an ILL account.

This field is for validation purposes and should be left unchanged.
Name(Required)

Clerk Contact

Name(Required)

Image Gallery

There is a 2MB filesize limit on the uploaded image. If the file is larger than 2MB, the form will not upload the image. Reduce the filesize of the image and try again.
Accepted file types: jpg, Max. file size: 3 MB.
Image Release(Required)
I have read and agree to abide by CBJ's Photo Indemnification Clause.
[fusion_button link="/photo-release" title="CBJ Photo Indemnifcation Clause" target="" link_attributes="" alignment="" modal="" hide_on_mobile="" class="" id="" color="custom" button_gradient_top_color="#ffffff" button_gradient_bottom_color="#eaeaea" button_gradient_top_color_hover="" button_gradient_bottom_color_hover="" accent_color="" accent_hover_color="" type="" bevel_color="#eaeaea" border_width="" size="small" stretch="" shape="" icon="" icon_position="" icon_divider="" animation_type="" animation_direction="" animation_speed="" animation_offset=""]CBJ Photo Indemnifcation Clause[/fusion_button]

Airport - Web Contact Form

Name(Required)

JPD Commendation/Complaint

Name
Address
MM slash DD slash YYYY
Time of Incident
:

JPD - Lost Item Report

Name(Required)
Address(Required)

Item Information

MM slash DD slash YYYY
Include brand, serial #, model, color, or any other identifying information.

EPW - Recycleworks Contact

Name

P&R - Coach Evaluation

This field is for validation purposes and should be left unchanged.
Rate your child's coach in the following:
Emphasized skill development, teamwork, and sportsmanship over winning(Required)
Treated your child fairly(Required)
Took safety precautions(Required)
Communicated with parents(Required)
Organized practices and games(Required)
Encouraged your child(Required)
Was effective in teaching skills(Required)
Recognized your child as unique(Required)
Treated referees with respect(Required)
Made it a fun, enjoyable season(Required)
Overall coach rating(Required)
Would you want to have this coach again in the future(Required)

P&R - Youth Sports Player Skill Evaluation

This field is for validation purposes and should be left unchanged.

Basketball Rating System:
5. High - Capable of individually dominating the game. Exceptional speed, shooting & dribbling skills with both hands, hand-eye coordination, moves well without the ball, has excellent anticipation, creativity and stamina. Very strong fundamentals.
4. Above Average - Good all-around skills, knows the positions and compensates for other teammates who may be out of position. Regularly capable of scoring or preventing scoring.
3. Average - Steady player who must concentrate to be effective. Average stamina and coordination. Contributes to team as a player. General knowledge of positional play.
2. Below Average - Has difficulty performing basic skills due to facts such as, unfamiliar with sports or a fairly low level of coordination. Cannot be counted on to provide much defensive or offensive support. Has difficulty seeing play develop and knowing where to move.
1. Low - Very little coordination and level of skills. Low stamina and has difficulty running up and down the floor regularly. Positional play focused on one spot on the field.
Soccer Rating System:
5 High - Capable of individually dominating the game from all positions. Exceptional speed, footskills, hand-eye coordination, moves well without the ball, has excellent anticipation, creativity and stamina. Very hard kick and/or great moves.
4 Above Average - Very strong at all positions, good speed and all-around soccer skills, knows the positions and compensates for other teammates who may be out of position. Regularly capable of scoring or preventing scoring.
3 Average - Steady player who must concentrate to be effective. Average stamina and coordination. Footskills involve minimal dribbling and occasionally kicking the ball ahead without considering where it is going or looking to pass. General knowledge of positional play.
2 Below Average - Has difficulty performing basic skills due to facts such as, unfamiliar with sports or a fairly low level of coordination. Cannot be counted on to provide much defensive or offensive support. Has difficulty seeing play develop.
1 Low - Very little coordination and level of skills. Low stamina and has difficulty running up and down the field/floor regularly. Positional play focused on one spot on the field.
Player 1 Skill
Player 2 Skill
Player 3 Skill
Player 4 Skill
Player 5 Skill
Player 6 Skill
Player 7 Skill
Player 8 Skill
Player 9 Skill
Player 10 Skill
Player 11 Skill
Player 12 Skill
Player 13 Skill
Player 14 Skill
Player 15 Skill
Player 16 Skill
Player 17 Skill
Player 18 Skill
Player 19 Skill
Player 20 Skill

JPL - ILL - Books

About the Item

MM slash DD slash YYYY

My Information

Name(Required)
MM slash DD slash YYYY
Please review the Library Catalog and verify that the item you are requesting is NOT available.
Verify that you have reviewed the catalog(Required)

JPL - ILL - Article

About the Item

MM slash DD slash YYYY

My Information

Name(Required)
MM slash DD slash YYYY
Please review the Library Catalog and verify that the item you are requesting is NOT available.
Verify that you have reviewed the catalog(Required)

JPL - ILL - Media

About the Item

MM slash DD slash YYYY

My Information

Name(Required)
MM slash DD slash YYYY
Please review the Library Catalog and verify that the item you are requesting is NOT available.
Verify that you have reviewed the catalog(Required)

Library - 3D Print Request

"*" indicates required fields

About Me

Name*
Please list the legal name associated with your library card.
Please list the full barcode number printed on your JPL or ALC library card.
Preferred contact method*
The contact information you supply will only be used to contact you about your prints. You must supply at least one contact method.
At this time, prints are available for pickup only at our Downtown branch (292 Marine Way).

About the Item

File Source*
Only files in stereolithography (.STL) format will be accepted.

If your file can be accessed for free online, select "publicly available."

If your file is one you have purchased, or is your own design (designed from scratch, a remix, etc) and you have not posted it online, select "not publicly available."

Remember that you are liable for the cost of prints that fail during printing due to STL errors, poor design, etc. You are not liable for the cost of prints that fail due to staff errors or hardware failure.
If the STL you'd like to print is freely available online, please give its web address.
If your file is not freely available online, please save your STL(s) in a ZIP archive and upload the ZIP here. Maximum size: 40MB.
Drop files here or
Accepted file types: zip, Max. file size: 40 MB, Max. files: 5.
    If the web page/ ZIP file includes multiple files, note which ones you would like printed below.
    My object needs to...
    Choose up to 3 priorities. Use the Notes field below for additional details (size tolerances, etc.).
    At this time, JPL is offering printing in Tough PLA only. For more information about Tough PLA, click here. Choosing "any color" may result in a shorter wait time.
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    Material 2
    Do you need a cost estimate?*
    Print pricing is based on the amount of material used, rounded to the nearest dollar. For more about the pricing of prints, click here.
    Please leave any special instructions here.
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    Weight in grams of PLA
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    Weight in grams of Tough PLA
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    Weight in grams of TPU 95A
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    Weight in grams of Breakaway
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    Weight in grams of PVA
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    Job Progress

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    Staff Review Status

    If this print job does not include enough information to print, contact information is incomplete, etc, chance the status to Returned.

    If this print job is unprintable due to policy violations, technical limitations, or other issues that will require the patron to resubmit their file, change the status to Denied.

    If everything looks good, change the status to Approved.

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    Estimate status
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    MM slash DD slash YYYY
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    MM slash DD slash YYYY
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    MM slash DD slash YYYY
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    MM slash DD slash YYYY
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    MM slash DD slash YYYY
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    Print Core 1
    PLA and TPLA are compatible with AA 0.25, AA 0.4, and AA 0.8. TPU 95A is compatible with AA 0.4 and AA 0.8.
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    Print Core 2
    Breakaway is compatible with AA 0.4 only. PVA is compatible with BB 0.4 and BB 0.8.
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    Layer Height
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    Please enter a number from 0 to 23.
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    Please enter a number from 0 to 59.
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    If this value is greater than 5, the patron needs an estimate.
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    Positive values = TRUE
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    CCFR Commendation/Complaint

    "*" indicates required fields

    Reporting Party's Name

    Incident/Employee Information

    MM slash DD slash YYYY
    Time of Incident
    :

    CDD - Online Permit Application

    Project Description

    If quote is materials only, please state in description.

    Applicant Information

    Full Name or Company Name

    Owner Information

    Owner's Name(Required)
    (Enter 'Same' if same as Applicant)

    Contractor Information

    (Enter 'Same' if same as Applicant, Enter 'TBD' if undecided)
    By clicking on the SUBMIT button you are certifying that you have read and examined this application and know the same to be true and correct. You further certify that all provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. You understand that the granting of a permit does not presume to give authority to violate or cancel the provisions of any other federal, state or local law regulating construction or the performance of construction.

    Incomplete applications will not be accepted or processed!


    After you hit the SUBMIT button, a confirmation page will appear with your unique, six-digit APPLICATION REFERENCE NUMBER. Make sure to save a copy of this number.

    After you have submitted your application, send any related plans and/or documents, in PDF format, to: permits@juneau.gov.

    Be sure to enter your APPLICATION REFERENCE NUMBER to the subject line. This is how your application is tracked.

    If you have questions, please contact us at 586-0770 and speak to a Permit Technician or send an email message to: PERMITS@juneau.gov

    Water Meter Contact Information

    Form to apply for Utility Statements to be sent via email.

    This field is for validation purposes and should be left unchanged.
    Person to contact for meter-related issues.
    Service Physical Location(Required)

    P&R - Report an Issue

    MM slash DD slash YYYY

    Your Contact Information

    Name(Required)

    Museum - Resources to Borrow

    This field is for validation purposes and should be left unchanged.
    Borrower's Name(Required)
    MM slash DD slash YYYY

    Finance - Payroll Contact

    Name(Required)

    JPD - Request for Letter of Local Personal Contacts

    Requestor

    Please identify yourself and tell us how to notify you regarding this request.
    Name(Required)
    Address(Required)

    We will notify you when the document is ready for inspection or pickup: Usually within 7-10 business days.

    Please provide us with the information below so that we can more easily complete your request.

    P&R - Contest Form 2

    P&R - Joke

    Name(Required)

    P&R - Project Comments

    Name(Required)

    JPD - Photo Bingo

    Mailing Address(Required)
    Please upload your photos. Some of the submitted photos may be used on social media.
    Accepted file types: jpg, jpeg, png, Max. file size: 100 MB.
    Accepted file types: jpg, jpeg, png, Max. file size: 100 MB.
    Accepted file types: jpg, jpeg, png, Max. file size: 100 MB.
    Accepted file types: jpg, jpeg, png, Max. file size: 100 MB.
    Accepted file types: jpg, jpeg, png, Max. file size: 100 MB.

    ZGYC - Online Resources

    Contact Information

    Resource Information

    All resources must be available via the Internet (have a web address/URL).
    Supply the web address (URL) of the resource here. All resources require a web address (URL).

    EPW - Public Art Proposal

    This field is for validation purposes and should be left unchanged.
    Please provide a brief description of the artwork.

    Proposed Artwork

    Include up to three images/sketches of the proposed artwork.
    Accepted file types: jpg, png, gif, pdf, Max. file size: 100 MB.
    Accepted file types: jpg, png, gif, pdf, Max. file size: 100 MB.
    Accepted file types: jpg, png, gif, pdf, Max. file size: 100 MB.

    Similar Artwork

    Include up to three images/sketches of similar art or previous work that gives an idea of what the final product would look like.
    Accepted file types: jpg, png, gif, pdf, Max. file size: 100 MB.
    Accepted file types: jpg, png, gif, pdf, Max. file size: 100 MB.
    Accepted file types: jpg, png, gif, pdf, Max. file size: 100 MB.

    Additional Information

    Information about the artist, including but not limited to any previous experience with the proposed type of art and any organization the project may be affiliated.
    Plan for any ongoing maintenance that the project will require for normal wear and tear, vandalism, or other activity that deteriorates the art over time.
    Plans and studies can be found here.

    Manager - Storm Damage

    This field is for validation purposes and should be left unchanged.
    Name(Required)
    Address Where Damage Was Sustained

    Harbors - Contact Harbors Board

    Please enter your email or phone number if you would like Docks and Harbors to contact you.

    Museum - History Grant Application

    This field is for validation purposes and should be left unchanged.
    Name of Applicant(Required)
    Address(Required)

    All files uploaded must be PDF format.

    Provide a document with answers to all of the following:
    --What do you plan to do?
    --How do you plan to accomplish it?
    --What sources will you consult?
    --Who will be involved in carrying out the project?
    Note: Volunteerism is expected as part or all of the human resources for the project.
    --What will the finished project be?
    Note: Credit to the grantor is expected to be included in or on the finished project as well as in all press and publicity.
    --Why do you want to do this project?
    --How will others use this project?
    Accepted file types: pdf, Max. file size: 100 MB.
    If your project depends on collaboration with other individuals or organizations, letters of support or commitment from the collaborators must be included.
    Drop files here or
    Accepted file types: pdf, Max. file size: 100 MB.
      Provide a document that describes your skills, strengths, and professional experience that enhance the success of this project. If a collaborative project, please include relevant information about the other participants.
      Accepted file types: pdf, Max. file size: 100 MB.
      Please provide a detailed timeline for your project, including start date, project outline, and anticipated date of completion. Please note: Progress reports are due at 6 and then again 9 months into the project. Projects must be completed within one year of the due date of your grant award. The grant must be given credit in all press and in the final project as follows: “This project was funded in part by a Juneau History Grant from the Juneau-Douglas City Museum, City and Borough of Juneau, (date of project).”
      Accepted file types: pdf, Max. file size: 100 MB.
      Budget: Please provide a DETAILED list of project expenses any other sources of funding along with justification for these expenses, if not inherently evident. Also indicate all in-kind services or goods. Be as specific as possible. If this project is part of a larger project, please include the budget for the larger project. Typically projects are funded in the $400 to $1200 range. (See example budget below for reference)
      Accepted file types: pdf, Max. file size: 100 MB.
      Example Budget
      Successful proposals will demonstrate evidence of the project’s scope and complexity through initial research (see Criteria on Page 1 of instructions). Please include any material that demonstrates initial research or further supports your proposal.
      Drop files here or
      Accepted file types: pdf, Max. file size: 100 MB.

        Adult Summer Reading Challenge, 2023

        This field is for validation purposes and should be left unchanged.
        Name(Required)
        We'd love to see photos of you completing challenges or enjoying your summer read! Submit photos here, send an email outreach@juneau.org, send us a DM on Instagram or Facebook, or post your photo and tag the Juneau Public Library and we'll share the fun!
        Drop files here or
        Accepted file types: jpg, png, Max. file size: 100 MB.

          JPL - Snowed Inn Winter Challenge

          Prompts

          ParkRec - Parks Field Reservation Registration

          This field is for validation purposes and should be left unchanged.
          Mailing Address(Required)
          Person who can answer any questions about field scheduling for your organization.
          Contact Mailing Address

          Once we've processed your registration, we'll send you a confirmation email with instructions for accessing the bulk field reservation calendar.

          If you would like the confirmation email sent to an address other than the contact/organization email, please enter it here.

          CCFR Address Sign Request

          This field is for validation purposes and should be left unchanged.
          Name(Required)
          Address(Required)

          EPW - Middleschool Usage

          Which schools are you proposing to use?(Required)
          Are you proposing to rent or buy the building(s)?(Required)
          See Assembly priorities/goals here.
          Would you be willing to pay fair market value for rent/lease?(Required)
          Will you be requesting CBJ operating funds for your use?(Required)

          PR - Youth Scholarship Application

          MM slash DD slash YYYY
          Mailing Address
          MM slash DD slash YYYY
          MM slash DD slash YYYY
          Agency Address
          Does your child qualify for reduced or free lunch with the school district?
          Is the child in OCS custody or a foster child?

          Report all household income for the past 12 months from date of application

          JPL - Adult Summer Reading Challenge

          Prompts

          PIO - Join an Action Team

          Name
          Action Teams and Areas of Interest

          Manager - Title 49 Suggestions

          Name(Required)

          Manager - Short-Term Rental Task Force

          Name(Required)

          Museum - Performer Sign Up

          Contact Information

          Name(Required)

          Performance Information

          JPL - Summer Reading Registration

          Name(Required)
          Age Group(Required)
          Sign up for our monthly library e-newsletter(Required)
          Is this your first Summer Reading Program with us?(Required)

          Headline

          Content here