RHEC II Application for Membership
The Region II Health Equity Council (RHEC II) is one of 10 regional health equity councils formed with the aim to achieve health equity in the US. RHEC II currently is recruiting new members from the two states (New York and New Jersey) and two US territories (Puerto Rico and US Virgin Islands) that comprise the US Department of Health and Human Services Region II. We seek committed and dedicated individuals to serve on and actively contribute to the work of RHEC II.

To apply, please submit this application form, your resume/CV, and a letter of interest (1.5 pages/750 words max). Thank you for your interest in joining RHEC II!

Contact Information
Email Address *
Your answer
First Name *
Your answer
Last Name *
Your answer
Degrees / Credentials
Your answer
Institution / Organization / Agency Represented *
Your answer
City *
Your answer
State *
Your answer
ZIP code *
Your answer
Daytime Phone Number(s) *
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Website (if applicable)
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Application Questions
1. Which state or territory do you reside/work in? *
NOTE: If your state/territory is not listed, there are no member positions currently available for your state. Applications will only be considered for the states/territories listed below.
2. Briefly describe your areas of professional expertise. *
Your answer
3. Below is a list of specific stakeholder groups, sectors, and/or areas of expertise that the council is seeking for new members. Please identify which one or more you represent.
(You may select more than one)
4. RHEC II members are expected to attend at least 50% of all quarterly RHEC II meetings per year via web/teleconference (1.5 hours each). Will you be able to commit this time to participate in quarterly RHEC meetings? *
Mark only one oval.
5. All RHEC members are strongly encouraged to attend a two-day, in-person Annual Review and Planning Session (ARPS), tentatively scheduled for the week of April 17, 2018. The HHS Office of Minority Health supports travel, lodging, and per diem for this event. If selected, would you be available to participate? *
Mark only one oval.
6. Each RHEC II member is expected to actively participate in at least one committee, which involves a time commitment of approximately three hours per month for teleconference meetings and completing committee tasks. Will you be able to commit this time to participate in a committee? *
Mark only one oval.
7. Currently RHEC II has established the following committees. If selected, which committee(s) would you be interested in joining? (Choose all that apply.) *Please note, new committees may be formed as the RHEC expands its work. *
Mark only one oval.
8. Additional Comments (optional) *
Your answer
Submit Application Form
Please complete the following steps in order:
1. Upload your resume/CV below and click "submit". Please include your last name in the file name.
2. Refresh your browser.
3. Upload your letter of interest* below and click "submit". Please include your last name in the file name.

Once you have submitted both your resume/CV and letter of interest, you have completed the application. Thank you!

All application materials must be submitted by 11:59 pm EST February 9, 2018.

**The letter of interest should describe why you would like to serve on the Region II Health Equity Council and what strengths, skills, and/or expertise you would bring to the RHEC. Please limit your letter to 1.5 pages/750 words or less.

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