CHOICES Coalition Involvement Agreement

Expectations of CHOICES Coalition Board Members:
1. Become educated on the effects of alcohol, tobacco, and drug use and various prevention strategies.
2. Take information back to organizations to which you belong.
3. Support the mission and goals of CHOICES.
4. Attend quarterly Coalition meetings.
5. Participate in an annual ½ day Coalition Board Retreat.
6. Support Coalition events and efforts whenever possible.
7. Actively participate in one of the four CHOICES Action Teams.

____ I will actively support CHOICES by serving as a Coalition Member. I can attend meetings and/or support
Coalition efforts in these ways:_________________________________________________________________
__________________________________________________________________________________________

____ I would like to be a Coalition Volunteer. I am not available to attend meetings, but I will assist with Coalition
efforts by performing these types of duties: :_____________________________________________________ _________________________________________________________________________________________

____ I'm not able to be actively involved at this time, but would like to be added to the “info only” emailing list to
receive notice of upcoming events, training opportunities, progress reports, etc.

____ I recommend that you provide Coalition information to the person(s) noted on the back of this sheet.
 (Please provide name, phone number or employer/place to contact.)

Name: ______________________________________________________________________

Address: ___________________________________________________________________

Phone: _____________________________________________________________________

E-mail: _____________________________________________________________________

________________________________________________________ __________________
Signature                                                                                                   Date