Join Us | CCHC

First name

Last name

Company name

Position

Email

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Civic, Fraternal and Community Organization(s) in which you are active.

Special skills or interests. Please specify:

Do you have any professional certificates or licenses?

BUILDING A HEALTHIER COMMUNITY

I make a commitment to be an active member of the Chaves County Health Council.

I make a commitment to attend monthly meetings.

I make a commitment to participate in an activity or subcommittee.

I make a commitment to vote on issues brought forth to the council.