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Public Health Council New Member Application, F-03027 (04/2022)

Introduction and Welcome

The primary purpose of the Public Health Council is to advise the Governor, the Legislature, Department of Health Services, and the public in Wisconsin on progress in implementing the state’s 10-year public health plan and coordination of responses to public health emergencies. 

The Council consists of 23 members, nominated by the Secretary of the Department of Health Services, and appointed for three-year terms by the Governor. The Council shall include a variety of representatives of: 
  • Health care consumers
  • Health care providers
  • Health professions educators
  • Local health departments and boards
  • Federally recognized American Indian tribes
  • Public safety agencies
The Public Health Council is created in Wis. Stat. § 15.197(13), as enacted by 2003 Wis. Act 186. The Council is attached to the Department of Health Services under Wis. Stat. § 15.197(13).

This application aims to collect all the relevant information for the appointment of new Council members to the Public Health Council. The application asks questions pertaining to: 
  • Applicant Contact Information (Name, home address, phone number, email, etc.)
  • Applicant Qualification Information (Personal & Professional Experience, Current Employer, etc.)
Please take the scope of this application into consideration when answering the following question. 
1. Under Wisconsin Statutes 19.36(7)(b), as an applicant for this position, you have the limited right to request that your identity be kept in confidence.

This right prevents your identity from being released in response to a public records request unless; you are appointed to the position or you are a finalist for the position as defined by Wisconsin Statute 19.36(7)(a).

If you wish to preserve this right, you must select "yes" below. *This question is required.