IPM Board Member Application
Please share with us why you're interested in joining IPM's board and provide some information about your skill set or background in the area you're applying.
Sign in to Google to save your progress. Learn more
Email *
Name *
Phone Number
What roles on the board are you interested in?
What has been your experience with poetic medicine and IPM?
Why does IPM's mission of awaking soulfuness in the human voice speak to you?
Why are you interested in serving as a Board member?
Please share any relevant experience/skills.
What are your gifts to the world?
Do you have other volunteer/work/family commitments? If so, please share about the weaving of those in your life.
What do you feel you can uniquely offer and commit to as a board member?
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy