Awards Committee _______
Training and Education Committee _______
Legislative Committee _______
Membership Services Committee _______
National Conference Program Planning Committee _______
Resource Development Committee _______
WORKGROUPS
Health Policy and Environmental Change Workgroup _______
Minority Health Workgroup _______
School Health Workgroup _______
Environmental Workgroup _______
Please check one or as many committees/workgroups of
interest to you in the above list and FAX the form back to us at DHPE –
202.659.2339
______ YES, I am interested in serving
______ NO, not at this time; maybe next
year.
NAME: __________________ E-MAIL:
_____________________
ORGANIZATION
______________
ADDRESS:
____________________
PHONE:
______________________
FAX: _______________________