BECOME A MEMBER TODAY! *** BECOME A MEMBER TODAY! *** BECOME A MEMBER TODAY! *** Name * First Name Last Name Position/Title * Agency/Organization * Email * Secondary Email * Government firewalls often remove attachments. Providing an alternate e-mail enables you to receive attachments. Capacity Full-Time Part-Time/Collateral Duties Volunteer What day is best for you to participate in Council Meetings * Tuesday Wednesday Thursday What is the best time for you to participate in Council Meetings? * 12 - 1 pm EST 1 - 2 pm EST 2 - 3 pm EST Please list 3-4 topics you would like NCHEPM to present training on. * Members are encouraged to join one or more of NCHEPM's 5 committees. Which, if any, of the follow would you like to join? For more information on committees, see pages 12-13 of our Governance. Coalitions and Partnerships Committee. K-16 Outreach Committee. Training/Continuing Education Committee Programs Committee Recruitment and Hiring Additional Information * Thank you!
