End HIV 901 Community Advisory Board Application

  • Application for End HIV 901 Community Advisory Board

  • About the Advisory Board

    The End HIV 901 Community Advisory Board (CAB) is led by St. Jude Children’s Research Hospital's HIV Prevention and Treatment Program to provide input for Ending the HIV Epidemic (EHE) efforts. A consistent team of stakeholders will directly provide and advise St. Jude and its partners on related EHE activities to ultimately eliminate the HIV epidemic in the Greater Memphis area. The CAB will be representative of a diverse mix of stakeholders from various sectors in Shelby County, including (but not limited to) the health department, faith-based organizations, schools, civic and community groups, LGBTQ youth and young adults, and health care organizations. Each member will share the common goal of optimizing HIV prevention and treatment by advising and working alongside one another in the development and implementation of a solid community-driven HIV prevention and treatment infrastructure in the Greater Memphis Area. Members will collaborate to implement the community-driven End HIV 901 Plan for the Greater Memphis Areas transitional grant area (TGA). The Community Advisory Board includes community mobilization that is a continuous process of attaining buy-in and support from individuals not already involved in the planning and implementation processes.

  • Primary Role of the Advisory Board

    • Advise its partners on EHE-related priorities and activities

    • Ensure the End HIV 901 Plan remains relevant to Memphis surrounding area’s HIV prevention and treatment needs

    • Provide insight to the grant recipient, affiliated/partnering organization and funded partners

    • Evaluate grant proposals or grant applications and assist with selecting grantees

    • Advise partners on website and social media updates

    • Advise partners on technical assistance training and other educational opportunity needs relating to EHE

    • Recommend services to be funded

  • Subcommittees

    Subcommittees are formed to bring focus to each of our Pillars within Ending the HIV Epidemic: Diagnose, Prevent, Treat, and Respond. All subcommittees are approved in collaboration of St. Jude.

  • Meeting Frequency

    CAB meetings will initially be held monthly. The group will meet the first Wednesday of each month at 2:00 PM. Facilitation of meetings will occur in person during the months of January, April, July, and October, with all other meetings being held virtually. Location may vary depending on availability of meeting space, either at St. Jude Children's Research Hospital or a location in the community. Routine educational opportunities will be made available for the CAB depending upon the needs of the members and additionally offered through End HIV 901 Community Presentations provided to the community at large. Trainings can include Request for Proposals (RFP) / Request for Applications (RFA) process review, HIV 101, data interpretation, public speaking, etc. Currently the meetings will be held for 90 minutes with potential of breakout sessions or added subcommittee meetings depending on the discretion of the CAB and their needs.

    Within the CAB, subcommittees are created for detailed assessment of EHE Pillars. Subcommittees consist of each Pillar within End HIV 901: Health and Harmony in the 901 plan (Diagnose, Prevent, Treat, and Respond). The group will collectively decide on future meeting frequency, day of the week and time of day as needed. Subcommittee meetings will be in the format of workshops as subcommittees recommend suggested changes within their specified aligned Pillar. Ultimate discretion of subcommittee meetings, frequency, occurrence, and duration is decided by CAB members. Meetings format can include separate meeting day and time from monthly meeting for 60 minutes, breakout sessions during monthly meeting (30 minutes of 90 minutes) consistently every month or every other month, etc.

  • What’s in it for You?

    • Community networking

    • Educational opportunities

    • Incentives (when applicable for eligible participants)

    • Strong influence on End HIV 901 decision-making

  • The Application Process

    Please complete the following application and be sure to sign the Statement of Commitment below. Once your application is received:

    • You will receive a letter of receipt for your application within five (5) business days.

    • St. Jude will review the applications and selected applicants with a completed application may be scheduled for a brief interview with the End HIV 901 Executive CAB Members.

    • You will need to be prepared to review one previously recorded Technical Assistance Training course and provide the requested feedback in a timely manner.

    • We ask you review an orientation and applicable EHE Technical Assistance Trainings. If your application is not selected your information will be kept on file and considered if a vacancy becomes available.

  • If you have any questions or need more information, please contact Elizabeth Propst or Karrie Reed.

    Elizabeth Propst
    elizabeth.propst@stjude.org

    Karrie Reed
    karrie.reed@stjude.org

     

  • Application for CAB Membership

  • Statement of Confidentiality

    To the greatest extent possible, all information that is provided in this application will be kept confidential. It will be viewed by the End HIV 901 Executive CAB members during the selection process.

  • Directions: Please read this packet carefully and complete all information in its entirety. If printed, please return the completed application and signed Statement of Commitment to:

    End HIV 901
    Attn: Elizabeth Propst, Community Outreach Program Coordinator
    262 Danny Thomas Place | Mailstop 230
    Memphis, TN 38105

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
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  • Applicant Information

    Check all that apply to you and for which you self-identify. The EHE Advisory Board will be comprised of a diverse set of individuals that represent one or multiple sectors identified as a priority population in the End HIV 901 Plan. Applicants should have familiarity with Shelby County. This includes those that live, work, or socialize in Shelby County.
  • Gender*
  • Race*
  • Are you currently an EMPLOYEE, BOARD MEMBER, PAID CONSULTANT or UNPAID VOLUNTEER at any United Way of Greater Nashville funded providers?*
  • If applicable, please indicate your current affiliations below, as they may reflect potential conflicts of interest in voting matters (select all that apply):
  • Please select any special assistance/accommodation (such as transportation, childcare, translation, wheelchair accessibility, etc.) that we might provide to help you fully participate in the activities of the Planning Group.
  • Do you have any work and/or volunteer experience in HIV/AIDS services?*
  • May we add you to our email list for events, meetings, training opportunities, and other informational updates that may arise?*

  • Statement of Commitment

    Please read and sign this section.

  • If appointed as a member of the End HIV 901 Advisory Board, I commit to the following:

    • Completing a New Member Orientation as an Advisory Board member.

    • Confirming that to the best of my ability, I will attend and display active participation in regularly scheduled Community Advisory Board meetings.

    • My understanding that membership on the Advisory Board is a commitment.

    • Having considered my other personal and professional obligations and do not foresee them as a barrier to my full participation on the Advisory Board.

    • Understanding that I will need to prepare for meetings by carefully reading all pre-distributed materials.

    • Agreeing to eliminate any and all professional and personal bias if approved to be an End HIV 901 Advisory Board member.

    • Agreeing that the recommendations and/or decisions I make will consider the needs of the TGA’s HIV/AIDS community as a whole, rather than the special interests of my personal perspectives.

    • Agreeing to disclose any conflicts of interest I may have relative to issues that come before the Board. A conflict of interest may be present when a board member has an affiliation that could interfere with, or appear to interfere with, their ability to impartially review and approve recommended revisions to the Community Action Plan.

    • Agreeing to excuse myself from making decisions that have direct conflict with my organization or related matters.

    • Agreeing to keep sensitive information obtained about other Board members, including HIV status, confidential, unless otherwise given permission.

    • Certifying that all statements and representations made in this application are true and correct.

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  • Date*
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