Community Advocate Interest Form
Share your contact information and let us know how you'd like to participate as a Community Advocate.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Agency or Organization
Role or Connection to the Community
How would you like to contribute as a Community Advocate?
*
Community Outreach & Awareness: host trainings, share resources within your networks, represent CCAC at community events/meetings, etc.
Training & Resource Development: Support development or adaptation of trainings or educational resources
Collaboration & Partnerships: Support partnership-building or cross-sector collaboration efforts
Advocacy & Systems Change: Participate in short-term working groups or advocacy initiatives and support efforts related to coalition-wide campaigns
I’m interested, but I’m still exploring how I’d like to be involved
Is there anything you’d like us to know about your interests or capacity? (Optional)
Submit
Should be Empty: