FHEC Membership Form

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Thank you for your interest in joining the Food & Health Equity Coalition (FHEC) of Essex County!

Please fill out the form below to let us know your level of commitment and areas of interest for participating in the Coalition efforts.

We are excited to move forward together, as a coalition, to increase and improve food access, security, and sovereignty in Essex County. Thank you for your time and engagement.

(Your name, organization, and email address will be added to FHEC's member list and shared with other Coalition members. The organization name will be listed on FHEC's website unless you request otherwise.)

Email *

First Name: *

Last Name: *

Name of your organization: *

Your role/title within the organization you represent:
*

Please select which primary sector your organization represents: *

Academic/Research

Business/Private

Community/Grassroots (includes food pantries/food distribution sites)

Education

Government

Healthcare

Nonprofit/NGO

Philanthropic

Other:

FHEC is currently working toward its objectives through Working Groups (WG) and Task Forces (TF). Groups/Task Forces meet monthly and the full membership meets quarterly.

Please select the level of membership you are interested in:

General Member (joins one or more WG/TF, 1 meeting per month per group)

Chair/Co-Chair (leads a WG/TF and participates in Steering Committee meetings, expect 2-3 meetings per month)

Advisory Level Member (high level participation in an advisory capacity, expect 4 meetings per year)

Supporting (receives general quarterly updates but is not involved in the active work of the Coalition)

Other:

Please indicate which Working Group(s) and/or Task Force(s) you are interested in being a part of:

Advocacy & Policy

Child Nutrition

Data Collection & Assessment

Environment & Sustainable Practices

Maternal & Child Health

Older Adults

None, Supporting Member only

Community Advisory Board (for those with personal/lived experience with food/nutrition insecurity AND/OR experience as a local grower/farmer)

Other:

Required

Any other comments or questions?
Thank you!

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