Emerging Leaders Committee Interest Survey

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If you are interested in joining the CPHA Emerging Leaders Committee, please fill out this short form. The new cohort of Emerging Leaders will officially begin in October 2020. We will reach out when CPHA ELC Delegate applications open in June. All information collected here will be kept confidential and shared only between the Directors and CPHA Executive Board Liasion.

Email *

Name *

Address *

Phone number

Best way to contact you *

Phone

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Which Emerging Leader Delegate position are you interested in filling? Please choose your top 3. *

Emerging Leaders Committee Associate Director (application and election process)

Health Equity Coalition Delegate: connect with HEC and coordinate ELC/HEC activities, oversee ELC efforts for nontraditional public health workers and historically underrepresented students

Public Health Policy Delegate: connect with the Policy committee, relay trends in state legislature, coordinate on Public Health Day at the Capitol, draft resolutions or statements if needed

Communications Delegate: connect with CPHA Communications committee to assist in media relations, create an ELC social media plan, reimagine the ELC presence

Public Health Education Committee: connect with the Culture of Data and PHiR committee to coordinate ELC events at conferences

Membership Committee: connect with the Membership and Finance committee to attend community, school events for tabling, oversee budget/finance

Required

Just interested in being an Emerging Leader without the Delegate commitment? Select the checkbox below:

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Please indicate any comments, questions, or feedback you may have!

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