IHEC Advisory Board Application

Please complete the following Advisory Board application. Upon review, an IHEC staff member will contact you.

*Please visit the IHEC website to learn about what we do, as our department is different than others on campus with regards to audience we serve. Information can be found at https://www.eiu.edu/ihec/services.php

Name Name * First Last
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email *
Phone Phone * - ### - ### ####
Institution *
Title *
What is your earliest available start date? *
Describe your campus' prevention efforts, projects, etc *
Tell us what you know about IHEC. *
What topics in the field of College Alcohol, Other Drug, and Violence Prevention are of special interest to you? *
What services of IHEC are of special interest to you? *
Upload your cover letter *
Upload your resume *