WICANYS Committee Volunteer Interest Application
Thank you for your interest in volunteering with WICANYS! Our committees rely on volunteers like you. Complete this form to express your interest — the relevant committee chair(s) will follow up with you directly.
Personal Information
Full Name
*
First Name
Last Name
Preferred Pronouns
Job Title
*
Organization / Agency Name
*
Organization / Agency Website
Organization Type
*
Please Select
WIC State Agency
WIC Local Agency
Healthcare / Clinical Organization
State or Regional Organization / Nonprofit
Community Organization / Nonprofit
Academic / Research Institution
State or Local Government Agency
Private Sector
Other (WIC Participant, Student, or other type of organization)
City
*
State
*
Please Select
NY
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Contact Information
Preferred Email Address
*
example@example.com
Preferred Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Best Way to Reach You
*
Email
Phone
Either
Best Time to Contact
Morning (8am–12pm)
Afternoon (12pm–5pm)
Evening (5pm–7pm)
Your Skills & Expertise
Areas of Expertise. Check all that apply.
*
WIC Program Administration & Policy
Nutrition & Breastfeeding Support
Community Outreach & Engagement
Legislative Advocacy & Government Relations
Finance & Budget Management
Marketing & Communications
Event Planning & Conference Management
Grant Writing & Fundraising
Data Analysis & Research
Technology & Information Systems
Training & Professional Development
Strategic Planning
Diversity Equity & Inclusion
Other
Please describe any expertise not listed above
Tell us about your relevant experience and what you hope to contribute to WICANYS
*
Hours available per month
*
1–3 hours
4–6 hours
7–10 hours
10+ hours
Committee Preferences — Select all committees you are interested in joining. Committees meet during normal business hours and descriptions are available on the WICANYS website.
Committees of Interest
*
DOH Partnership and Collaboration Committee
Public Policy and Advocacy Committee
Membership Engagement Committee
Annual Conference Planning Committee
Open to Any Committee
Any preference for a specific focus area within a committee?
Have you previously volunteered with WICANYS?
*
Yes
No
If yes, describe your previous involvement
How did you hear about this opportunity?
Please Select
WICANYS Website
Newsletter / Email
Social Media
Colleague Referral
WIC Conference or Event
Other
Submit Application
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