Call for Membership Applications for the Pacific and Southwest Regional Health Equity Council
Note: Applicants should complete the information below and submit it along with a resume and cover letter online by Friday, July 27, 2018.

Thank you for your interest in joining RHEC IX!

Contact Information
First Name *
Your answer
Last Name: *
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Title: *
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Organization: *
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Address: *
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Phone: *
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Email Address: *
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Area of Expertise or Specific Sector(s): *
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In 100 words or less, please:
1. Describe your reason for wanting to become a Pacific and Southwest Health Equity Council (PSWRHEC) member and your available time commitment. *
Your answer
2. Share what you will bring to the PSWRHEC in terms of access to populations or organizations, skill sets and expertise. *
Your answer
3. Most of the work that is done by the PSWRHEC is done in committees and independently. Describe how well you work when you are not meeting face to face with others on a regular basis, and how well you handle competing priorities. *
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4. Share any research experience, education or skills that you possess in the area of health equity/health disparities. *
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Thank you for your interest in the Pacific & Southwest Regional Health Equity Council!
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This form was created inside of NPA RHEC.