Registration Form: 12/12/24 Quarterly Meeting AND 2024 End of Year Survey

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Please complete the form below to confirm your attendance at the FHEC 2024 Q4 meeting.

Meeting Details:

Thursday 12/12/24, 1-4pm

West Orange Public Library

10 Rooney Circle

West Orange, NJ 07052

Email *

First Name: *

Last Name: *

Please choose one: *

I am registering to attend the 12/12/24 Quarterly Meeting.

I am UNABLE to attend the 12/12/24 Quarterly Meeting, but I am filling out this end of year survey to share feedback with the Steering Committee. (Thank you!)

Name of the organization you represent: *

Your role/title within the organization you represent: *

If you are a new member or would like to update your Working Group participation, please indicate your interest(s) from the list below:

No changes

Administrative and Communications (organizing and coordinating materials for FHEC events, FHEC website support, etc.)

Advocacy and Policy (identifying areas to advocate, share information, and influence policy- working with other Working Groups)

Child Nutrition (focusing on school meals, summer meal programs, nutrition education, etc.)

Data Collection and Assessment (identifying areas in need of further data collection, making connections between data sets, supporting other Working Groups in the coalition)

Environment and Sustainable Practices (including urban growers, community and school gardens, purchasing locally, food waste, etc.)

Maternal and Child Health (focusing on food and nutrition support for expecting parents and families with young children)

Older Adults (focusing on addressing the barriers and needs of older adults including meal delivery, congregate meals, etc.)

Resource Access and Collaboration (focused on opportunities to organize and share information more easily for service providers and community members)

N/A - Supporting or Advisory participation only

Other:

Please indicate your level of agreement with this statement:

Since joining FHEC, I have been able to collaborate with others working to address food and health equity more often and more easily.

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

Please indicate your level of agreement with this statement:

Since joining FHEC, accessing and sharing resources related to food and nutrition security has become easier/I experience fewer barriers to accessing and sharing resources.

Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

On a scale of 0-10, how likely is it that you would recommend FHEC as a resource to your colleagues, peers, etc.? [0 indicates not at all likely at all, 10 indicates extremely likely.]

On a scale of 0-10, how likely is it that you would recommend FHEC as a resource to community members seeking food and nutrition information in Essex County?
[0 indicates not at all likely at all, 10 indicates extremely likely.]

Share a Short Report?
Do you have something you'd like to share with FHEC members? "Short Reports" are informal presentations, 2-10 minutes, to share an update on a project, initiative, collaborative win, collective success, etc.
If you are interested in sharing a brief report with the group, please indicate below and provide a brief description. We will follow up to learn more and discuss the agenda!

Waiver Agreement:

I agree to the terms of the Release and Waiver of Liability for Film and Video, linked here.

I ACCEPT the terms of this waiver.

I DO NOT accept the terms of this waiver.

Required

Please let us know if you have any accessibility needs or need for accommodations to allow you to participate fully in this event. Please include food allergies and dietary restrictions as well. Thank you!

Send me a copy of my responses.

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