BRHP | Client Advisory Board Interest Form

BRHP is looking for future Client Advisory Board members who are 15 to 22 years old and have a deep interest in sharing innovative ideas and feedback regarding BRHP’s policies and procedures.

The role of the Client Advisory Board is to ensure that BRHP continues to grow and operate in a manner that best meets the needs of our families. The feedback from our Client Advisory Board will help to shape some of the policies and procedures that we look to implement in the future.

Please note, there will be an approval process for final acceptance on the board. We desire a broad range of perspectives on this board and, as such, hope that you will share your honest thoughts on the topics below.

Thank you for your interest!

Applicant Name

First Last

Head of Household Name

First Last

What is your relationship to the Head of Household?

Address

Street Address Address Line 2 City State ZIP Code

Email

Phone Number

Are you interested in joining BRHP's Client Advisory Board?

Yes
No

Are you available to attend bi-monthly meetings?

Yes
No

How would you rate BRHP's services?

How has participation in the BRHP program impacted you?

What topics would you be most interested in discussing if selected for the board?

Have you held any leadership positions in your school or community?

Yes
No

If so, what leadership positions have you held?

Client Advisory Board

15 to 22-Year-Old Household Member Interest Form

Client Advisory Board Interest Form–15 to 22 Year Old Household Members

Client Advisory Board

15 to 22-Year-Old Household Member Interest Form

Client Advisory Board Interest Form–15 to 22 Year Old Household Members

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