• CAB Interest Form

  • Pronouns*
  • Format: (000) 000-0000.
  • What is the best way to contact you?*

  • The Knights and Orchids Society is seeking members for a Community Advisory Board that would help us tailor our FAITH HIV prevention, testing, and care program to best meet the needs of our current and potential clients.

    Community Advisory Board members will participate in the following activities:

    • Virtual CAB meetings via Zoom each quarter (3 months) - 1 hour
    • CAB surveys - 30 minutes
  • Would you be able to attend a virtual meeting (up to 1 hour) once each month?
  • Would you be able to attend a virtual meeting (up to 1 hour) once each quarter (3 months)?*
  • Would you be able to answer a virtual survey (up to 30 minutes) at least once each month?
  • Would you be able to answer a virtual survey (up to 30 minutes) at least once each quarter (3 months)?*

  • Community Advisory Board meetings are likely to occur on a weekday (Tuesday - Friday) and start in the early evening (between 5:00 and 7:00).

  • Select any days of the week that you CANNOT participate in meetings.*
  • What time would you prefer meetings to begin?*

  • Our Community Advisory Board needs to be representative of the clients that we serve. We must also share demographic information about our Community Advisory Board members with our funders, including the Centers for Disease Control.

    The demographic information that you provide in this form will not be shared with any of your identifying information and is kept secure and confidential by TKO staff. If you have any questions about how your information is stored and shared, please contact Joshua Baker, PhD, at joshua.baker@tkosociety.com. 

  • What is your race and/or ethnicity? Select all that apply.*
  • How would you describe your gender identity?
  • How would you describe your sexuality/sexual orientation?*
  • What is your HIV status?
  • What is your HIV status?*
  • Should be Empty: