WI CHW Network Committee Co-Chair Application
This form is used as an application to apply to serve a 2-year term as a c-chair on the WI CHW Network Committees . Please note the following requirements:

*Must be available to attend and co-facilitate meeting on a quarterly basis in the afternoon.
*Meetings will be facilitated remotely via Zoom.
*The Committees encourage representation from diverse members of the WI CHW Network regions.
*Each committee must have at least one CHW as co-chair.
*If you are not a CHW, you can still apply and serve as an ally
*Must contribute to association activities and be present at special events (ex: annual conference) and other projects when needed.
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Applicant Name *
Are you a CHW? *
Which Committee would you like to co-chair?
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Why are you interested in serving as a co-chair of the WI CHW Network? *
Describe your skills and leadership experience *
Describe ideas you have that will help grow the WI CHW Network *
Describe your availability to attend and co- facilitate Committee meetings? *
Please copy and paste your resume here (don't worry about the layout): *
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