Member Contact Information

Aloha, Talofa, Yokwe, Hafa adai, Alii, Kaselehlie, greetings to you all,

Mahalo for your interest in participating with the Native Hawaiian & Pacific Islander Hawai‘i COVID-19 Response and Recovery Team. Understanding that there is evidence that Native Hawaiian and Pacific Islander communities are disproportionately impacted by this pandemic, the purpose is to understand what COVID-19-related efforts that impact our communities are underway, identify resources and gaps, build partnerships, and unify to provide a strong voice for our communities in Hawai‘i Nei. When woven together, our mat is stronger than the sum of its individual strands. Our communities will be stronger when our voices are joined.

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* 1. Are you a member of the NH or PI Sub-team?

Native Hawaiian (NH)

Pacific Islander (PI)

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* 2. Contact Information

Name

Company/Organization

Email Address

Phone Number

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* 3. Please list your affiliations:

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* 4. Please select your committee(s):

Testing/Contact Tracing/Isolation

Social Support (financial assistance, food security, education etc.)

Policy (State and National)

Data (collection standards, state/county numbers, disaggregation etc.)

Recovery (economics, planning etc.)

Communications (Health messaging)

Other (please specify)

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* 5. What is the best day & time to participate in your weekly committee meetings?

	No availability	8am-10am	10am-12pm	12pm-2pm	2pm-4pm	4pm-6pm	Any time of day
Monday	Monday No availability	Monday 8am-10am	Monday 10am-12pm	Monday 12pm-2pm	Monday 2pm-4pm	Monday 4pm-6pm	Monday Any time of day
Tuesday	Tuesday No availability	Tuesday 8am-10am	Tuesday 10am-12pm	Tuesday 12pm-2pm	Tuesday 2pm-4pm	Tuesday 4pm-6pm	Tuesday Any time of day
Wednesday	Wednesday No availability	Wednesday 8am-10am	Wednesday 10am-12pm	Wednesday 12pm-2pm	Wednesday 2pm-4pm	Wednesday 4pm-6pm	Wednesday Any time of day
Thursday	Thursday No availability	Thursday 8am-10am	Thursday 10am-12pm	Thursday 12pm-2pm	Thursday 2pm-4pm	Thursday 4pm-6pm	Thursday Any time of day
Friday	Friday No availability	Friday 8am-10am	Friday 10am-12pm	Friday 12pm-2pm	Friday 2pm-4pm	Friday 4pm-6pm	Friday Any time of day

Member Contact Information

Question Title

* 1. Are you a member of the NH or PI Sub-team?

Question Title

* 2. Contact Information

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* 3. Please list your affiliations:

Question Title

* 4. Please select your committee(s):

Question Title

* 5. What is the best day & time to participate in your weekly committee meetings?

Question Title

* 6. Any additional comments?