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Children's Alliance Public Policy Council Application for Membership
1.
Name:
2.
Your affiliations with organizations, if any:
3.
Children’s Alliance Membership Status (check one):
I work for an organization that is an
organizational member
of Children's Alliance
I am an individual member of Children's Alliance in current standing as defined by the Board of Directors. Financial contributions are optional.
Here is how to become an individual member.
4.
Mailing Address
Address line 1:
City:
State:
Zip code:
5.
Phone number:
6.
Email address:
The following questions are asked to help inform the Public Policy Council about the composition of our applicant pool so that we may fulfill our commitment to creating a council that is diverse in various ways.
7.
Race/Ethnicity
8.
County in which you live/work:
9.
Gender (optional):
10.
Age:
The following questions are asked to help inform the Public Policy Council about your experience and interests.
11.
What experience do you have advancing racial equity in public policy?
12.
What children’s issues interest you/concern you the most?
13.
What kind of experience do you have with this issue?
14.
Please describe any special skills you bring to the Public Policy Council.
15.
Please include a short bio that can be shared with Public Policy Council members.
Current Progress,
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