2023 Member Application

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Thank you for becoming a member of the Mariposa Health & Wellness Coalition. This application is for both New and Renewing Coalition Members, choosing General or Principal Membership.

If you have any questions, please contact us: MariposaCoalition@gmail.com or (209) 347-6729

This first section is ABOUT YOUR MEMBERSHIP.

Details about requirements and benefits of our two membership levels (General and Principal) are provided in the document Which Membership Is Right For Me?

If you’re joining as a Principal Member, you’ll be asked which committees/subcommittees you might be interested in. You won’t have to make a solid decision until Orientation. Until then, to learn more, we created the document Which Committee Is Right For Me?

Let's get started!

Are you a NEW or RENEWING member? *

NEW

RENEWING

What LEVEL of membership are you interested in? *

PRINCIPAL Membership: Works on 1 Committee or Subcommittee

GENERAL Membership: No committees

IF you will be a PRINCIPAL Member, which committee(s) or subcommittee(s) are you interested in? Select at least one (1).

Details about each committee and subcommittee are available in Which Committee Is Right for Me?

PREVENTION Committee (discuss health and wellness issues and solutions)

ACCESS TO CARE Subcommittee (discuss health & wellness opportunity access and equity)

NUTRITION & FOOD ISSUES Subcommittee (discuss healthy eating and food availability)

TOBACCO ISSUES & CESSATION Subcommittee (discuss tobacco use/abuse and cessation)

OUTREACH Committee (produce activities, events, media, promotion and social marketing)

EXECUTIVE Committee (direction and guidance, membership, fund development)

NONE: As a GENERAL MEMBER I will not be joining a committee.

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