California HPV Vaccination Roundtable Membership Application
The California HPV Vaccination Roundtable is a coalition of diverse stakeholders working together to prevent HPV associated cancers and pre-cancers by increasing the California HPV vaccination rate to 80% by 2026.

Our membership is composed of individuals and organizations that represent various health sectors including, but not limited to; immunization, cancer control, academia, professional societies, community organizations, state and local agencies, private foundations, and health systems. All members of the Roundtable are expected to be active participants in the planning, implementation, and evaluation of roundtable projects and initiatives.  Before submitting your application, please take a moment to read through the role description and expectations listed below:

Roundtable Member Role Description:
Represent the Roundtable by becoming an HPV Vaccination Champion within your organization
Actively participate as a member of at least one Workgroup
Assist in the development of Workgroup action plans
Work collaboratively with group members to implement action plans
Represent the California HPV Vaccination Roundtable in the community
Enthusiastic champion of HPV vaccination as cancer prevention

Time Commitment:
Approximately 4 hours per month
Attend Workgroup/Roundtable meetings and major events
At least one-year availability

Applications are reviewed on a rolling basis. Please allow 2-4 weeks for processing.

PLEASE NOTE: ALL APPLICATIONS MUST BE SUBMITTED WITH TWO SUPPLEMENTAL DOCUMENTS THAT INCLUDE:
CV/Resume
Letter from your employer or organization that demonstrates their support in your pursuing membership of the California HPV Vaccination Roundtable as their representative.

Supplemental documents must be sent via email to info@cahpvroundtable.org after this electronic application is submitted. Applications submitted without a resume/CV and letter of support will be considered incomplete and will not be reviewed by the Steering Committee. If you have questions while completing your application, please submit questions to info@cahpvroundtable.org. Thank you for your interest!
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