BACKBONES Board Application 2021

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Thank you for taking an interest in becoming a BACKBONES Board Member. We are excited about working with you to continue serving people with spinal cord injuries and disease (SCI/D) and their families. BACKBONES is looking for people with different skill sets and paths of life to join the team!

BACKBONES exists to help people with spinal cord injury or disease (SCI/D) and their families connect with their communities. We do that by creating events and experiences that promote awareness and engage people of all abilities.

For more information about BACKBONES visit www.BACKBONESONLINE.com or contact Reveca Torres at info@backbonesonline.com.

Thanks so much! Looking forward to learning about you!

Email *

First Name *

Last Name *

Home Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

I am *

Person with a Spinal Cord Injury/ Disease

Friend/ Family of someone with a Spinal Cord Injury/ Disease

Healthcare Professional

Other:

Required

Work

Employer

Title

Type of Business or Organization

Please list boards and committees on which you serve, or have served (business, civic, community,fraternal, political, professional, recreational, religious, social).

Education/Training/Certificates

Activities

School, Interests, Hobbies

Honors/ Awards (while in school or in your professional career)

How do you feel BACKBONES would benefit from your involvement on the Board? *

Skills, experience and interests (Please check all that apply) *

Finance, accounting

Personnel, human resources

Administration, management

Nonprofit Experience

Community service

Policy development

Program evaluation

Public relations, communications

Education, instruction

Special events

Grant writing

Fundraising

Outreach, advocacy

Peer Support

Other:

Required

Are you able to attend regular Board meetings?

Meetings will be conducted over conference call or Skype (evenings)

How many hours per month (in addition to meetings) can you serve this organization?

Please List a Personal, Educational, or Professional Reference *

Contact Information for Your Reference *

Phone Number or Email

Please List a Personal, Educational, or Professional Refrence *

Contact Information for Your Reference *

Phone Number or Email

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