Eat Smart, Move More NC: Partner Information Form

Eat Smart, Move More North Carolina is a statewide movement promoting opportunities for healthy eating and physical activity wherever people live, learn, earn, play, and pray.

To sign up to be a partner in the Eat Smart, Move More NC movement, provide your contact information below. Partnership is free, and joining will provide access to partner meetings and communications.

If you are already a partner of Eat Smart, Move More NC and need to update your information, you are in the right place. Indicate your status as “updating information” in question 1.

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* 1. Are you a new partner, or are you updating your information?

New partner

Updating information

Not sure

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* 2. Contact information

First Name *

Last Name *

Organization Name (if applicable) *

Job Title (if applicable)

City *

State *

Zip *

County *

Email *

Phone *

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* 3. Tell us about the work that you do to promote opportunities for healthy eating and physical activity:

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* 4. To join the Eat Smart, Move More NC movement, please state your support for its mission, vision, cause, and Plan. All of these items are provided on the Who We Are page of the website. Please indicate your support by checking the box below.

I support the mission, vision, and cause of Eat Smart, Move More NC. I also support North Carolina’s Plan to Address Overweight and Obesity as a source of evidence-based strategies.

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* 5. If you are interested in serving on an Eat Smart, Move More NC Subcommittee, please indicate that below. The time commitment is about 2 hours per month, and the term of service is two years. You may also email the Executive Committee for more information at info@eatsmartmovemorenc.com.

Which Subcommittee would you be most interested in learning more about?

Communications

Partner Engagement

Please encourage other supporters of eating smart and moving more to join the movement as well and to explore the resources available to all of us at eatsmartmovemorenc.com/resources/.

Thank you again!