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Advocate & Champion Program
Submit your points here to become a Public Health Champion!
KPHA’s new Advocate and Champion Certificate program is a great line for your CV and comes with a fancy certificate, but more importantly, it is acknowledgment of your contributions to a healthier community.
Your Name
(Required)
First
Last
KPHA Membership
(Required)
Student Member
Regular Member
Organizational Member
*You must be a KPHA member.
Your Address
(Required)
Street Address
Address Line 2
City
ZIP Code
Your Email Address
(Required)
Email Address
Confirm Email Address
What points have you earned? (select all that apply)
KPHA Membership (5 pts)
Serve on KPHA Board (25 pts)
Serve as a KPHA Officer (25 pts)
Serve on a KPHA Committee (15 pts)
Email your Senator or Representative (5 pts)
Call your Senator or Representative (5 pts)
Contact your local/civic government leader to support a public health topic (5 pts)
Send pro-public health written testimony (10 pts)
Meet with your Senator or Representative (10 pts)
Attend a Committee Meeting or Hearing (20 pts)
Participation in a public health-related advocacy day in Topeka (20 pts)
Participation in a public health-related local advocacy activity (15 pts)
"Voter-to-Voter" network Ambassador (15 pts)
Attend a KPHA "Take 20" or other virtual meeting/seminar (5 pts)
Present a KPHA "Take 20" or other virtual meeting (25 pts)
Attend a KPHA Conference (20 pts)
Submit a virtual poster (10 pts)
Poster selection for presentation (15 pts)
Presentation at a KPHA Conference (20 pts)
Presentation at an APHA Conference (20 pts)
Share a KPHA social post (5 pts)
Refer a KPHA member (5 pts)
Be an internal KPHA membership ambassador at our workplace (15 pts)
Total Number of Points
(Required)
Other activities that support public health that we should consider? If yes, please describe.
Date Submitted
(Required)
MM slash DD slash YYYY
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