Planning Council Application Form

If you are interested in joining our Planning Council or one of it's committees you need to fill in the below form. The Membership Committee of the Planning Council will review your application and you will be contacted with current opportunities to serve on a committee or possibly as a full Planning Council member.

 

Please complete the form below

Name *
Name
Phone *
Phone
Valid phone number that we can contact you on.
Applying for full Planning Council Membership. *
Are you eligible to fill any of these open representation categories on the Planning Council?
Applying for Committee Membership. *
If you are applying for full Planning Council Membership you are automatically considered for Committee membership.
If you are living with HIV are you willing to publically disclose your status?
Public disclosure is not required to be a member of the Planning Council. (33% of the Planning Council must be made up of people living with HIV)