Healthy King County Coalition Membership Application
WHO WE ARE: The Healthy King County Coalition is a group of King County residents and organizations united to achieve health equity through policy, systems, and environmental change (PSE).

OUR PURPOSE: To mobilize and support community partners to create equitable choices that support healthy eating, active lifestyles, and smoke-free living. Please visit us at www.healthykingcounty.org

WHAT WE DO: We acknowledge the disparities within current health care initiatives and services. Our five active workgroups meet monthly, lead special projects throughout the year, and drive the dialogue up to the Governance Team and the coalition as a whole on PSE.

We host quarterly coalition meetings, leadership training, workshops on social change and managing data, and forums on how to change policies, systems, and the environment.

Email address *
Choose which level of membership you are interested in. *
All members agree to mobilize their organization members around the Coalition’s health equity policy priorities and events and are available to provide in-kind staffing resources and/or financial support to the Coalition. All members are encouraged to connect with us on Facebook, Twitter, and LinkedIn and stay abreast of our other news posted on our website.
Required
Please choose the Work Group you are interested in. *
Voting members belong to at least one work group, supporting members are not required to do so and may choose option #6.
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Please provide the following information
Note: Your name, title, and organization as written, will be used on HKCC materials. Please avoid using only acronyms or abbreviations, if possible.
Full name *
Your answer
Organization *
Your answer
Position *
Your answer
I am joining the Coalition as an individual and do not represent any organization in any way
Mailing Address (please specify personal or organizational)
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Preferred Phone (please specify cell, business, home and include area code) *
Your answer
Additional Phone (please specify cell, business, home and include area code)
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Preferred Email *
Your answer
Additional Email
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