Apply for Direct Care Council Name * First Name Last Name Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Employer * Employer Phone * (###) ### #### Employer Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Number of Years in Direct Care * What are some of the most important issues you face as a direct care professional? * What could be done to improve the image of direct care? * What kind of leader are you? Do you prefer to lead behind the scenes or do you like to be out in front? * Why do you want to be involved in the IC Direct Care Council? * Thank you!
