CHSCPR Application Form: Executive Committee Positions


The Chicago Healthcare System Coalition for Preparedness and Response (CHSCPR) is a collaboration of healthcare organizations and providers, the public health department, and community partners working together to care for our community before, during, and after an emergency.  CHSCPR is an inclusive body open to all organizations/entities that provide or support healthcare services within the City of Chicago and that wish to work collaboratively on emergency preparedness, mitigation, response, and recovery activities.


CHSCPR’s Executive Committee meets virtually the second Tuesday of every month.  In order to be nominated for an Executive Committee position, all applicants must meet the following eligibility requirements:


    • Member
    • Active engagement as demonstrated by attendance at 75% of the prior calendar year’s All Partner Coalition meetings and committee meetings
    • Expresses a willingness to serve in the elected position July 1, 2024 until June 30, 2026
    • Receives organizational support for participation
    • Provides a resume/CV/bio for distribution to the membership


A list of duties associated with each position can be found in CHSCPR’s approved Governance Document.
If you meet the eligibility requirements above, please complete the following application:
CHSCPR Application Form: Executive Committee Candidates
Please indicate the Executive Committee position you are applying for:
My employer is in support of my participation:
Please indicate the CHSCPR committee(s) you have been a member of in the past year:
I will support the Emergency Operations Plan of the Coalition and complete the program outcome objectives as detailed in the grant application and annual work plan:

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