Steering Committee Candidate Application

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Thank you for your interest in participating on the Portage County Safety Council Steering Committee. Please answer the following questions and you will be contacted if the current committee thinks you're the best fit.

Name *

Company *

Phone *

Email *

Are you available to volunteer at our monthly luncheons? *

PCSC monthly luncheons are on the 2nd Thursday of every month (unless otherwise noted). Committee members typically arrive at 11am and stay until about 1:15pm every month. Exceptions can be made for vacations, emergencies, etc.

Yes

Other:

Are you available to attend our quarterly steering committee meetings? *

PCSC quarterly steering committee meetings are tentatively the 3rd Thursday every Jan, Apr, July, & Oct, and typically run 1.5-2 hrs. The steering committee is responsible for determining monthly luncheon topics, special training events, etc. Exceptions can be made for vacations, emergencies, etc.

Yes

Other:

Please list your experience/qualifications that you believe would benefit the PCSC. *

Please check the areas that best describe or correlate to your interests and skill set.

Please check all that apply.

Workplace safety experience/certifications

Safety expert connections/network

PR skills (press releases, marketing, etc.)

Training/Public speaking experience

Positive attitude/communication skills

Flexibility (willing to volunteer for various tasks as needed)

Passion to make an impact/difference

Other:

Why do you want to join the Steering Committee? *

Submit

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