Committee Interest Form
Thank you for your interest in being part of the Wellbeing Coalition of Westfield (WCW) team. Please use the form below to select the committee that you would like to join. The committee chair will reach out to you with additional details. If you have questions, email us at

As a valuable committee member, it is important that you regularly attend committee meetings. If unable to attend a scheduled committee meeting, please be sure to notify the Committee Chair.
Email address *
Name *
Email Address *
Cell Phone *
Place of employment (if applicable)
Job title (if applicable)
Job title (if applicable) *
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