Pennsylvania Rural Health Association (PRHA) Committee Interest Form

Request edit access

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

Thank you for your interest in joining a PRHA Committee! We are glad you're here! Committee involvement is open to all current PRHA members. Please complete the form in it's entirety and a member of PRHA leadership will be in touch.

Email *

First Name

Last Name

Phone Number

City or Town of Residence

City or Town of Employment

Please select the committee(s) that most interest you or would offer the best fit.

Strategic Planning Committee - Best for those who are forward-thinkers, visionaries, have strengths in organization, planning, goal setting, organizational culture, or allocation of resources. This committee has been established to develop and execute the next PRHA strategic plan. Meetings are variable based on member availability.

Legislative Briefing Committee - Is your passion health policy, regulation, and legislation? Do you benefit from interacting with local, state, and federal elected officials? If so, this committee is for you! Join us as we provide comments on proposed legislation and regulation, coordinate the annual Rural Legislative Briefing, and more!

Communications Committee - Best for those who excel in any form of communication, have a background in marketing, communications, or social media, or are passionate about furthering the mission of PRHA and promoting rural health needs in Pennsylvania. This committee typically meets on the second Tuesday of each month at 10:30am.

Executive Committee - Reserved for current members of the PRHA Board of Directors including positions of Treasurer, Secretary, State Office of Rural Health Representative, Vice-President, and President. Interested in serving in this capacity? Consider applying for a seat on our PRHA Board of Directors

Nominating Committee - Reserved for current members of the PRHA Board of Directors. This committee aids in the selection of new members of the Board of Directors, as well as Student Board of Directors Members. Interested in serving in this capacity? Consider applying for a seat on our PRHA Board of Directors, here

I'd like to contribute my expertise and further the mission of PRHA but I'm not sure how. I'm open to suggestions.

Please list anything you believe we should know, including a brief description of why joining a PRHA committee interests you.

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms