HCH2018 Consumer Agreement Form

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Applications are due February 23, 2018

 

2018 NCAB Leadership Nomination

    Please note that Steering Committee Members are expected to make at least 75% of all monthly NCAB calls held at 5pm ET on the third Wednesday of each month; Nominees should expect to devote two hours each week towards NCAB activities.
    Join NCAB and the National Health Care for the Homeless Council for free at www.nhchc.org/about/membership/individual-members/.
  • If the nominee does not have an email address, please seek help in the community to sign up for one or contact Katherine Cavanaugh at kcavanaugh@nhchc.org. Having an email address is a requirement of an NCAB leadership position as most communication happens through email.
  • Please describe in 300 words or less your experience as a consumer, your involvement with agency decision making or governance, and the contribution you feel you could make to the work of the National Consumer Advisory Board. Please note: You may provide additional letters of support or references to provide the nominating committee with additional information to support your nomination and to enhance the committee's understanding of your potential contributions, those letters can be sent to Katherine Cavanaugh at kcavanaugh@nhchc.org. NCAB will also contact you for an informal interview.
  • Tell us why you believe the above-named nominee would make a valuable addition to the NCAB leadership team.

2018 Conference Consumer Agreement

  • First time attendees are paired with a mentor to support them before and during the conference. If you are a first time attendee, can we share your information with your NCAB mentor? *Please note that this will allow your mentor to understand that you meet the criteria for a consumer, meaning you have experienced homelessness and used services at an HCH site.
  • The National Consumer Advisory Board works to engage and support local consumers and consumer engagement; we have Regional Representatives that specifically work to support local consumer engagement at HCH projects, do you want your information shared with your Regional Representive? *Please note that this will allow your Regional Representatives to understand that you meet the criteria for a consumer, meaning you have experienced homelessness and used services at an HCH site
  • Please enter name and the last four digits of your social security number to certify that you agree to uphold the requirements for the subsidy if you are chosen.