Mayor's Mental Health Task Force Monitoring Committee Application

Central Texas African American Family Support Conference

Mayor's Mental Health Task Force Monitoring Committee Application

The MHTF strives for a broad and diverse representation; membership applications are welcomed. While applications are received year round, the Committee approves new members three times a year (February, May and September).

To apply for membership, click here to download a membership application. Fill out the form and email to Dr. Susan Stone *Name:
*Address:
Home Phone Number:
Work Phone Number:
Fax Number:
*Email Address:
Occupation:
Current Employer, if applicable:
Please describe any special assistance that you may require to serve on this committee:
Please check any of the following, which reflect your special expertise that you could bring to the committee.
Mental Health Treatment
Policies and Planning
Indicators
Justice System
Fund Raising
Grant Development
Housing
Infrastructure
Public Speaking
Education and Awareness
Training
Marketing
Program Development and Management
Other
Please note that by submitting your application you are agreeing to: Commit to two to five years of participation. Attend Initial Orientation and Training Session. Attend monthly meetings and participate in subcommittee meetings (All members are required to serve on a subcommittee) Uphold the work of the Mental Health Task Force Provide education and training about the work of the Mental Health Task Force Read and comply with all communication and reports required to accomplish the work of the Mental Health Task Force Interview Questions
*1. Please tell us why you want to be a member of the MHTF.:
*2. Please describe the knowledge you would bring to the MHTF.:
*3. The MHTF deals with complex and sensitive issues regarding behavioral health. Please describe how you have dealt with these types of issues in the past.:
*4. Members represent a diverse community. As a member, how would you help the MHTF work together as a team?:
*5. What subcommittee would you be interested in serving on?:	Criminal Justice Schools/Youth Access/Housing Community Awareness/Faith Based
*6. Please tell us why you want to serve on this committee and what skills you would bring to the committee.:
7. Please share any additional background/experience with the committee you feel would be valuable to the MHTF.:
Please provide any references that you think would be helpful:

Mayor's Mental Health Task Force Monitoring Committee Application

Interview Questions