PEER-A-PALOOZA Conference Committee Application
Why do you want to be a part of the Conference Committee?
What does the word "empowerment" mean to you?
Are you Certified as any of the following?
Peer Support Specialist
Community Health Worker
Which Committee(s) are you interested in participating in?
Marketing and Outreach
If you are interested in being a Chair or Co-Chair for any Committee(s), please list which Committee(s) you are intersted in.
What is your availability for Conference Calls? Please list days and times.
What City/Town do you live in?
Create online surveys