Board Of Directors Candidate Application

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Full Name *

Address *

Phone

Email *

Employer Name *

Title *

Work Email *

Preferred contact Method *

Personal Email

Work Email

Required

Please list boards and or committees that you have serve on currently or have served on in the past. *

Please provide two references. *

Education or training background? *

Have you received any awards you or honors you would like to mention?

How do you feel Recovery Empowerment Network would benefit from your involvement on the Board? *

Skills, Experience, and Interests *

Check what applies

Personnel or Human Resource

Administration and Mangment

Non-Profit Experience

Community Service

Policy Development

Public Relations

Education

Special Events

Grant Writing

Fundraising

Technology

Outreach

Finance & accounting

Do you have a finger print clearance card? *

Yes

No, but I can obtain one if needed.

No, I may need support to obtain one ( Good Cause Exception)

Please tell us anything else you would like to share. *

Submit

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