Wake County Family Justice Center Steering Committee Form

Assistant (Name/Phone/Email)

To contact me individually, I prefer
EmailOffice PhoneCellText

I would like to serve on
Steering CommitteeWork GroupBoth

Please rank 2 to 3 choices for Work Groups in order of preference below

Preference 1

Preference 2

Preference 3

Please suggest individuals who might like to join a Work Group. Please indicate which Work Group if known.
If you have contact or additional info, please include it.