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FFHPC Membership Application

Pajaro Valley Food, Farming and Health Policy Council

Membership Application

Convened by the Community Health Trust of Pajaro Valley
501 c(3) Tax ID. 94-1149702

Name(Required)
Select all that apply to you and your relationship to the Pajaro Valley (Monterey County, San Benito County, Santa Cruz County)(Required)
Please select the fields appropriate about the work or organization you represent:(Required)
How would you describe your ethnic background? select all that apply to you:
Are you interested in any additional roles:
Are you attending FFHPC meetings as a part of your employment functions?
If these meetings are not aligned with your employment functions, are you interested/seeking in receiving a stipend to support your participation? (This provision is not guaranteed and depends on funding available. Stipends provide recognition of time and contribution of community participants).

Community Health Trust of Pajaro Valley logo

Community Health Trust
of Pajaro Valley

85 Nielson Street, Watsonville, CA 95076

Administrative Office: 831-726-4257
Diabetes Health Center: 831-726-4267

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