2026 CCHHE Annual General Meeting (AGM) & Leadership Interest Form

2026 CCHHE Annual General Meeting (AGM) & Leadership Interest Form

Rebuilding Leadership. Shaping the Future.
Contact Information

Please enter your contact information so we can properly account for all attendees
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Membership Status
Are you currently a CCHHE member?*

Yes – Active memberYes – Membership needs renewalNo – Interested in becoming a member
Age Range

This question is optional!
Please select the age range that best represents your age (optional)

Under 2525–3435–4445–5455+
Interest in Leadership & Engagement

Please check-all-that-apply
I am interested in:*

Learning about board rolesServing on a committeeRunning for a board positionVolunteering with CCHHEAttending for information only
Areas of Interest or Skills

This question is optional!
Which areas are you most interested in contributing to?

Governance and leadershipHealth education and outreachFinance or fundraisingMarketing and communicationsYouth engagementCommunity partnershipsEvent planning
Experience
Do you have any previous experience in leadership, boards, or volunteering?

YesNo
If yes, please detail
Accessibility
Do you have any accessibility needs or accommodations we should be aware of?

YesNo
If yes, please specify

Contact Information