Apply for the Change Committee

Name

First Name

Last Name

Email Address

Department

Time commitment: About 3–4 (paid) hours at your leisure outside of working hours during the month of November. Will you be able to commit to this amount of time?

Why do you want to be a member of this team?

Are you involved with any local non-profits as a volunteer or paid staff? Please specify which organization(s) and your level of involvement: