Equity, Diversity, and Inclusion Committee Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

We are excited that you are interested in the LICSPA EDI Committee. Please fill out this application form completely and accurately.

The Equity, Diversity, and Inclusion Committee will help to manage the efforts of LICSPA in designing and implementing equitable, diverse, and inclusive training and/or programming. This committee will have input into the equity, diversity, and inclusivity of events and have oversight in how equitable, diverse, and inclusive best practices are installed into LICSPA-sponsored events.

Please reach out to info@licspa.org if you have any questions.

Email *

First Name *

Last Name *

Institution *

Title *

Department/Division *

Why do you want to be a member of this committee? What is one item/issue that this committee could address? *

What strengths, skills, or knowledge will you bring to the committee? *

Would you be able to attend one committee meeting per month, the 2023 LICSPA Annual Conference, and as-needed conference calls? *

Yes

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of LICSPA. Report Abuse

Forms