Tamra currently teaches at East Carolina University in the Department of Health Education and Promotion, and is the Talk It Out Ambassador for Eastern NC. She sits on the Board of Directors for the Coastal Coalition for Substance Abuse Prevention (CCSAP), a five county coalition in Eastern NC, and co-chairs the Jones County CCSAP Task Force. Ms. Church co-chairs the Jones County Resilience Collaborative to address adverse childhood experiences and build resiliency in her community, and is trained in Reconnect for Resilience.