Literacy Now Level of Participation

Name *
Phone *
Fax
Email *
Affliation (optional)
Task Group Member - I want to be actively involved. I'm prepared to attend 5 or more meetings over the next few months. I will assist in preparing the proposal, oversee the process and keep others involved	Yes No
Community Partner - I want to attend semi-regular meetings with other community members.	Yes No
Supporter - I want to be kept informed	Yes No