*1.Please select the SWC  Steering Committee that best fits your interests.(Required.)

Strategic Partnerships and Recruitment;  Expand membership and outreach strategies

Mental Health: Expand mental health education and outreach

Youth Engagement:  Expand youth specific initiatives

Infrastructure and Development: Re-evaluate governing and framework documents

*2.Which of the following roles are you willing to serve on your steering committee?(Required.)

Chair

Vice Chair

Recorder or Notetaker

Active Member

Non-Member

*3.What is your mailing address to which we can mail your Coalition Tools!(Required.)

Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

*4.Steering Committees will convene through Zoom (in person post COVID-19) every other month during the SWC regular meeting time, 1 PM on 3rd Thursday of the month. Please provide any input about your availability for  steering committee meeting times:(Required.)

5.Do you have suggestions for your committee's work that you want to be sure is considered?