Community Advisory Council Interest Form
Let us know why you are interested in being a part of the Public Media Network Community Advisory Council.
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Why do you want to join the Community Advisory Council?
Why are you passionate about local media that reflects the community and lived experiences?
What is your connection to Public Media Network and the mission?
Can you commit to meeting in-person four times per year for 1 - 1 1/2 hours?
Yes
No
Maybe
Anything else you would share?
Submit
Should be Empty: