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Leadership Education in Adolescent Health (UW Leah) Program
LEAH Teen and Parent Advisory Board - Parent/Caregiver Application
LEAH Teen and Parent Advisory Board - Parent/Caregiver Application
The UW LEAH Fellowship Program trains leaders in adolescent health. The Teen and Parent Advisory Board will help us improve adolescent healthcare through advising the LEAH Fellowship program about important topics in adolescent health. We would like to hear your perspectives! The Board has 6-8 monthly evening and 1-2 afternoon meetings.
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Address
Address 2
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Are you the Caregiver/Parent of at least 1 child, age 13-20?
Yes
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Race/ethnicity (check all that apply)
American Indian or Alaskan Native
Asian
African American / African / Black
Hawaiian Native or Pacific Islander
Hispanic / Latino
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Other…
Please specify
Preferred Pronouns
Optional. Examples: she/her, they/them, he/his
Why do you want to be a part of the LEAH Advisory Board?
We value any and all parental experiences. What unique perspectve will you bring to the Board?
Please consider the following and add comments below about any statement you cannot check:
I am willing to make at least a one year commitment to the LEAH Parent Advisory Board with the opportunity to serve up to 3 additional years, unless circumstances merit my resignation/removal.
I understand the year includes attending 6-8 meetings, held once every other month for one hour on the second Monday of the month.
I have regular email and internet access and will respect the importance of regularly checking and responding to email.
I have reliable internet access at home for online meetings and collaboration. I will adhere to appropriate video conferencing etiquette.
Additional comments or information, which may be helpful in considering your application:
What phone number, day, and time work best for a phone interview?
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