Advisory Committee Application Join our Advisory Committee Contact ...

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Join our Advisory Committee. Achieve is committed to excellence! We are looking for practitioners, trainers, coaches, ad
Advisory Committee Application

Join our Advisory Committee Achieve is committed to excellence! We are looking for practitioners, trainers, coaches, advocates and leaders who are interested in championing our efforts to provide optimal services to our members. Selected candidates will have experience supporting and representing diverse groups within the field. Interested candidates should send a narrative detailing their professional experiences in the field with this completed application to [email protected] by March 15, 2018. Please include how your participation will help Achieve meet the needs of historically underserved communities. Selected candidates will receive an official invitation to join the committee no later than March 30th.

Contact Information Name



Street Address



City ST ZIP Code



Home Phone



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E-Mail Address



Availability Will you be able to attend quarterly meetings, either in person or via technology, to support the work of the Advisory? If applicable, do you have the support of your supervisor or organization in joining this committee?

Special Skills or Qualifications Please describe in detail why you wish to serve on this committee.

Agreement and Signature By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as an advisory committee member, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. Name (printed)



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Rev. 1/2018