Membership Application | Licking County Prevention Partnership

Membership Application

  • Statement of Commitment and Employer Support

  • The Licking County Prevention Partnership seeks to continue as a vital, active entity promoting positive prevention and wellness. To this end, the Licking County Prevention Partnership seeks volunteer members to engage in the process. In becoming a Partnership member, I agree to attend quarterly meetings and to attend other activities associated with the Partnership to the best of my ability. Because the Licking County Prevention Partnership is an unpaid, volunteer experience, I verify that my employer supports my application to join the Partnership and is aware of the time commitment required.
  • Statement of Interest

  • Please detail your reasons for seeking membership on the Licking County Prevention Partnership.
  • Experience

  • Please state any pertinent expertise and experience you can bring to the Partnership. How will the Partnership grow if you are a member?