BRHP | Client Advisory Board Interest Form

BRHP is looking for future Client Advisory Board members who 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. Additionally, our current cohort is full. As such, it may be a few months before we start the process of adding new members.

Thank you for your interest!

For clients with interested household members ages 15 to 22, click here to access the young adult interest form.

Name

First Last

Last four digits of your SSN

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

Is there a member of your household between the ages of 15 and 22 who may be interested in joining the Client Advisory Board?

Yes
No

If so, please provide their name, phone number, and email address below:

Are you, or other interested members of your household, available to attend bi-monthly meetings?

Yes
No

How would you rate BRHP's services?

Describe your experience with BRHP, please include any neighborhood experiences that your would like to share:

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

A you currently a member of any of the following committees? (Select all that apply)

PTA
Neighborhood Association
Other

If other, please specify what committee you are a member of:

Client Advisory Board Interest Form

Client Advisory Board Interest Form

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