Community Council Application
Join our Community Council as we create health and healthcare related advocacy action plans for government leaders, educational institutions, public health, and health organizations.
Name
First Name
Last Name
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
Company
Why do you want to join the Community Council?
If selected, you will be asked to commit at least on year to this work. Please tell us more about your commitment to serving community and working to advocate for your community?
What is a superpower/character strength you have? How will this strength help you and the other community council members work with the P.O.W.E.R Partners?
Think about a time you had to overcome adversity, how did you overcome it and what lesson did it teach you. How do you apply that to your life today?
Are you interested in a "General Member" position or a "Leadership Member" position? If you are interested in a leadership position, please email your resume to info@build2lead.org
Leadership Member
General Member
Are you able to commit an average of 2-4 hours a month to this work?
Yes
No
Anything else you would like to tell us about why are you passionate for this work and would be a good fit for the Community Council?
Do you consent to a background check?
Yes
No
Please read through the terms and conditions following this question. Is there anything we should know?
Signature
Continue
Continue
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