Live Well Springfield Resident Advocate Profile/ Climate Change and Health Equity    
 The Live Well Springfield Coalition is seeking resident advocates to join our community engagement initiatives. If you are interested in volunteering and learning about community engagement, please complete the profile application below.
Sign in to Google to save your progress. Learn more
Full Name *
Mailing Address *
Phone Number *
Email Address
How did you hear about the Resident Advisory Council? *
Required
As a member of the LWS/ Climate Change and Health Equity Committee, I will be a... *
Availability: What is the best time of the day you have available to volunteer or attend meetings? *
Required
What do you hope to learn or gain from this experience? *
Why do you want to be a Resident Advocate  or community partner with LWS? *
What are some key neighborhood issues that concern you that you would like to learn more about regarding climate change, health equity, and environmental justice? *
What are some of your personal or professional qualities? *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms