Texas Heart and Stroke Prevention System Partnership
Partner Profile
Thank you for your interest in the Texas Heart and Stroke Prevention System Partnership. We hope you decide to join and look forward to working with you!
Benefits of participation in the Partnership Include:
· Increased awareness of the burden of heart disease and stroke in Texas and what national, state, and local organizations are doing to address the problem.
· Access to an organized networking forum of Texas organizations working to address the state’s CVD burden.
· Ability to serve on state-level committees to help implement the Texas Plan to Reduce Cardiovascular Disease and Stroke.
· Increased knowledge of funding and technical resources available to assist in local community program planning.
Please help us get to know you and understand your level of interest by providing the following information. Your information will only be used for Partnership purposes.
Your name & title:
Organization name & address:
Phone, email & organization website:
Type of organization
Public: State Local Regional
Private: Nonprofit For profit
I am not affiliated with an organization. I am interested in joining as an individual/citizen.
If you belong to an organization/program, please tell us about it. What are its goals and who is the audience?
How did you hear about the Partnership?
Briefly explain your goals for joining the Partnership.
Please identify to what extent you would like to participate in the Partnership:
I would like to participate as a member of the Steering Committee and will:
· Represent an organization or sector impacted by and/or addressing CVD/stroke.
· Regularly attend Steering Committee meetings.
· Contribute to the leadership/decision making authority of the Partnership.
· Contribute to Partnership communication and dissemination of information.
· Actively serve on committees and ad hoc work groups, according to interest.
· Receive letters of support from the Partnership for funding/project proposals as needed.
· Actively support and work to implement the common goals of the Partnership.
· Be eligible for financial assistance with travel to Partnership meetings when funds are available.
Participate on state plan goal committee (Mandatory for Steering Committee members)
· Collaborate with others in the planning, implementation, and evaluation of initiatives that serve to implement the state plan.
· Attend committee meetings via conference call or webinar.
Please choose one Goal Committee you would like to join.
Goal I: Texans will experience improved cardiovascular health and quality of life through the Prevention of Risk Factors.
Goal II: Texans will experience improved cardiovascular health and quality of life through the Detection and Treatment of Risk Factors.
Goal III: Texans will experience improved cardiovascular health and quality of life through the Early Detection and Treatment of Heart Attack and Stroke.
Goal IV: Texans will experience improved cardiovascular health and quality of life through the Prevention of Recurrent Events.
Receive regular electronic communication related to CVD/stroke and Partnership activities.
Submission of this form indicates that you subscribe and commit to the following purpose statement:
(To be developed)
Please email your completed profile to Jane Osmond at . You may expect to hear from a representative of the Partnership within the next few weeks. For more information, you may contact Jane Osmond at 512.458.7111 ext. 6573.
Learn more about the Partnership online at http://www.dshs.state.tx.us/wellness/partnership.shtm.
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