Minnesota Council for HIV/AIDS Care and Prevention Application Form
Thank you for your interest in HIV care and prevention planning in Minnesota!
This community planning group is essential for the ongoing provision of prevention and care services in Minnesota. Member duties include identifying communities to target for prevention interventions, prioritizing service areas and allocating Ryan White HIV/AIDS Treatment Extension Act of 2009 funding for HIV care services. Applications for the Council are accepted throughout the year and are kept on file for one year. New members are elected as needed. The Council is a public body. The names of Council members are public information. All Council and committee meetings are open to the public. Meeting minutes are available to the public and are posted on the Council website: http://www.mnhivcouncil.org/
This volunteer position will require your attendance at the following:
1. Participate in a New Member Orientation Session (6-8 hours)
2. Serve a term of two (2) years; one (1) subsequent term is allowed contingent upon reappointment
3. Attend monthly meetings and serve on at least one (1) standing committee
4. Commit to a minimum of 8-10 hours per month to Council business; including attendance at Council meetings, committee meetings and preparation time
5. Attend other training opportunities as appropriate
6. Participate fully in all responsibilities as mandated by federal legislation
Members requiring mileage reimbursement for meetings will need to provide their valid driver's license number and street mailing address.
Completing this form will help the Membership and Training Committee assess the qualifications of applicants, and aid in their ability to make nominations for membership. If the committee determines you may fill a vacancy in representation or reflectiveness, we will contact you to schedule an interview, and you will have an opportunity to expand on your answers.
If you need assistance, including disability, completing this form contact Council Support Staff. Phone: 612-348-6827. Email: HIVCouncil@hennepin.us. Mailing Address: Minnesota Council for HIV/AIDS Care and Prevention, 525 Portland Ave S, MCL963, Minneapolis, MN 55415.
Contact information
Please check all that apply:
HIV and Consumer Status
Agency Affiliation
Note: Applications are not complete until you have read and signed each of the Council policy pages. Email your application to: HIVCouncil@hennepin.us
Questions? Contact Council Support Staff, Minnesota Council for HIV/AIDS Care and Prevention, 525 Portland Ave S, MCL963, Minneapolis, MN 55415, Phone: 612-348-6827, Email: HIVCouncil@hennepin.us
(Contact us for the fax number if you would like to fax your application.)