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Board Member Information Sheet
Addiction Resource Council
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Email
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Option 1
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Untitled Title
Option 1
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Untitled Title
Name
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Date
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YYYY
Title
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D.O.B (optional)
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Organization
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Address
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City, State, Zip
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Phone Number
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Email
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Emergency Contact & Phone Number
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Source of referral/ information
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Special Skills or Interests
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Consumer Advocacy
Fund-Raising
Human Resources
Business and Finance
Strategic Planning
Public Speaking
Marketing / Public Relations
Technology
Legal
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Professional Background Sector
For-profit Business
Non-profit organization
Government
Other:
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I am interested in joining the Addiction Resource Council's Board of Directors because:
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Other affiliations:
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Other board service:
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On which of the following committees will you serve?
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Please check at least one
Executive Committee
Legislative Committee
Finance Committee
Community Special Events & Outreach Committee
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In addition to your Board responsibilities, would you be interested in providing other volunteer services?
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If so, please specify
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What are your hobbies or special interests?
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Other information:
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