Coalition Involvement Agreement
I agree with the mission of the Coalition for Healthy Communities and its commitment to reducing substance abuse among youth by increasing collaboration and coordination of community services and resources. I pledge to support this mission to create population-level change by participating in the Coalition for Healthy Communities by attending meetings as available, participating in Coalition initiatives, and assisting with ongoing assessment, planning, and implementation of Coalition initiatives.
Items marked * are required
Your Interest
Please identify the community sector(s) that you represent:
Your Contribution
Please briefly describe your organization/business/expertise and suggest any resources or services that you feel you or your organization could provide the Coalition (i.e. - providing volunteers for events, venue for a meeting or event, advertising, providing education for coalition or community members)
Task Force Interest
I have an interest in becoming a member of the following task forces:
next
Thank you for your submission. We will contact you normally within four business days. If you do not hear back from us then something must have gone wrong so please call Mara Carlin on phone: 732-254-3344
back
submit