Skip survey header
English

Best Start Region 2 Delegate Application - Sept. 2021

Welcome and Contact Information

Thank you for your interest in applying to be a Best Start Region 2 Delegate! All residents of Best Start Region 2 ages 16 and older are eligible to apply.

In order to apply, please answer all the questions that follow. 

We will not share any of your personal information outside of Best Start Regional Task Force and Best Start local leaders. 

At the end, please make sure to hit "submit" to complete the application. If you have any questions, please reach out to Erika Pinto at epinto@chc-inc.org.


 
1. Please fill out your contact information. Again, we will NOT share this information outside of Community Health Councils and the Best Start Region 2 Regional Task Force.  *This question is required.