MassForum for Creating Healthier Communities

Conference Registration (see form below):

Please print, fill out & send to:
Peter Lee
MPHC/The Medical Foundation
95 Berkeley St., 2nd floor
Boston, MA 02116

FAX: (617)451-0062
ATTN: Peter Lee

JUNE 15, 2009 – 10 O’CLOCK to 2:30 PM
HOAGLAND PINCUS CONFERENCE CENTER
222 MAPLE AVENUE, SHREWSBURY, MA



HEALTHY COMMUNITIES CONFERENCE

Registration

NAME:

 

 

ORGANIZATION                           COMMUNITY:

 

 

ADDRESS:

 

 

TELEPHONE:

 

E-MAIL:

 

 

SCHOLARSHIPS ARE PROVIDED FOR ALL MASSFORUM CLASS/GRADUATES.  Tuition of $20 required for all other people. (Checks to MPHC/TMF at address below)

ALL OTHERS: $20/PERSON   Please specify:    

MA Forum Grad  or Current Class   c                   Paying participant                           c

 

 

WILL YOU BE BRINGING A DISPLAY TO SET UP FOR THE “MARKET PLACE” AT THE CONFERENCE?    

YES _____ AND I WILL NEED:

_____ A 10 FOOT LONG TABLE               _____ HALF TABLE

_____ NO TABLE BUT FLOOR SPACE     _____ ELECTIRCAL ACCESS

NO  _____

 

Date ______________________             Signature _______________________________

Fax to 617-282-3950 or mail to: The Mass Partnership, The Medical Foundation, 95 Berkeley St, Boston, MA 02116

Questions: 617-451-0049 or [email protected]

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RON BELL Ron Bell has been a voting rights advocate and community organizer for over 20 years. His long history of building community has made him a well-respected community leader and much-sought-after public speaker. He is currently the Director of the Governor’s Civic Engagement Office for the Commonwealth of Massachusetts. The Civic Engagement Office serves as the primary outreach vehicle of the Executive office and works in the spirit of promoting active volunteerism and civic engagement.

In 1992, Ron Bell founded Dunk the Vote, a Boston-based non-partisan, non-profit organization dedicated to increasing civic participation and promoting social change. By employing a contemporary style to engage the interest of young people, Dunk the Vote has been able to reach, educate, organize and mobilize thousands of members of the hip-hop generation. Over the past 14 years, it has registered over 40,000 new voters and during the Hip Hop Summit in July of 2004, registered over 7,500 people. As Project Director of the “Selma March: Retracing the Struggle” in October 2005, he organized over 5,000 participants and 400 participating interfaith and multicultural organizations. In 2006, he served as Deputy Campaign Manager for the Deval Patrick Gubernatorial Campaign and as a member of the Deval Patrick Transition Team Civic Engagement Working Group. Following the election, he was Director of the Governor’s Public Liaison Office promoting civic engagement and community-based participation.

Awards
Central Boston Elder Services History Makers Award, February 2007; The Next List, Boston Magazine (March 2007); Greater Boston Elder Services History Makers Award, 2007; The Black Pages 100 Most Influential People of African Descent, 2007 edition; Semi Finalist, Volvo for Life Award, 2006; SemiFinalist, National Volvo for Life Award 2006; Nominee, The Freedom House History Makers Award 2005, Peaceworks Unsung Hero Award 2003; A&E Biography Network Community Heroes Award 2002; “Ron Bell Day” in the City of Boston: November 13, 1997; University of Massachusetts’ Robert H. Quinn Award for Outstanding Community Leadership 1996; Boston Herald Hero Award 1996; President Clinton’s “Point of Light” Award, 1995.

Programs and Affiliations: Present and Past
Board Member, Boston Latin School Association, 2007; Appointed to the Affirmative Action Committee, Mass. Democratic Party 2007; Board Member, Mass. Service Alliance, 2007; Member of the Board of Directors, Mt. Ida College, Political Action Chair, NAACP New England; Consultant, Boston Vote/MassVOTE; Strategy Team Member, Greater Boston Interfaith Organization; Alumnus, NCCJ Lead Boston; Alumnus, University of Massachusetts Boston Emerging Leaders Program; Member, Mayor Menino’s Voting Rights Task Force; Fellow, MIT Center for Reflective Community Practice/Boston Community Leadership Project; Project Director, College at the Polls Program, Roxbury Community College; Project Director, “The Selma Project: Retracing the Struggle,” Deacon, Greater Love Tabernacle; Delegation Member, Boston-Haifa Connection.