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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Are you a CHW?
Which Committee would you like to co-chair?
Curriculum and training
Community clinical linkages
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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