CPASB Application 2025
Please use this form for submitting nomination to the Chronic Pain Anonymous Service Board (CPASB). 

CPASB Member

The CPASB members are the principal planners and administrators of overall policy and finance.  It is the legal entity responsible for the administration of CPA funds and General Service Virtual Office services.

Qualifications and Commitment

The CPASB is composed of CPA members and non-CPA members. CPA members must have completed the Twelve Steps and have a minimum of 2 years in CPA. It is preferable if they have held other service positions in CPA. Non-CPA members need to bring skills or knowledge that add to the effectiveness of the Board. They need to demonstrate interest in CPA; have talents in a field that will benefit CPA; a willingness to serve; faith in the CPA program of recovery; and a working knowledge of the Twelve Traditions and Twelve Concepts of Service. 

The commitment required is to attend the monthly meetings, participate on at least one of the CPASB sponsored committees, and bring the intention of serving the good of CPA fellowship into all their decision making. 

Qualities of Trustees include tolerance, responsibility, flexibility and vision. Organizational skills are required for following through on assigned responsibilities. Even though there is acceptance of the unpredictability of health conditions some projects are time sensitive. It is expected that each member be open about their capabilities and share work whenever possible. 

Description

The CPA Service Board is the guardian of the Twelve Traditions and Twelve Concepts of Service applied to all aspects of running the 501(c)3 corporation. It meets monthly and is the legal entity responsible for the administration of CPA funds and services. It is composed of 5 to 15 volunteers, a minimum of three from the Fellowship and two from outside the Fellowship. There is always at least one more member than non-member. 

The General Service Virtual Office (GSVO) is the related service arm to the CPASB. In managing the affairs of the corporation, the CPASB is authorized to maintain policies of the GSVO, control property and finances, make long range plans, authorize expenditures, appoint committees, take measures to carry out the will of the Fellowship as specified at the World Service Conference (WSC), and approves the agenda for the WSC. 

The Board nominees are put forth by the Fellowship and then approved and elected by current CPASB members. Officers include President, Vice President, Secretary, and Treasurer. A term of service of three years is suggested. The Board is composed of qualified members with an emphasis placed on strong leadership, cooperative relationships, and professional skills valuable for the strength of the Fellowship. 



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Email *
Name *
Which CPASB position are you applying for? *
Email *
Phone Number *
Home Address *
Who nominates you to be a CPA Service Board Trustee? Please provide their name and email address
How long have you been a member of CPA? (for CPA members only)
What is your homegroup? (for CPA members only)
Have you completed the Twelve Steps? (for CPA members only)
What CPA service positions have you held? Please list positions and dates. (This will be shared with WSC delegates)
Can you share with WSC delegates and participants why do you want to serve as a trustee on the CPA Service Board? 

Please describe your personal history, including leadership experience, education, work, and non-CPA skills that will be an asset in CPA.

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What qualities do you possess that will make you a reliable and effective servant of the fellowship? 

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If you are not a member of CPA, what personal history, leadership experience, or professional skills will be an asset in CPA?


Thank you for your application to participate in service work to support the CPA fellowship. If you have any additional comments, please share them here. 



Below are the questions asked of each Trustee Board member by the Arizona Corporation Commission in the Certificates of Disclosure:


Has ANY person who is currently an officer, director, trustee, incorporator, or who, in a for For-Profit corporation controls or holds more than 10% of the issued and outstanding common shares of 10% or any other proprietary, beneficial, or membership interest in the corporation been:

1. Convicted of a felony involving a transaction in securities, consumer fraud or antitrust in any state or federal jurisdiction within the seven-year period immediately preceding the execution of this certificate?


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2. Convicted of a felony, the essential elements of which consisted of fraud, misrepresentation, theft by false pretenses or restraint of trade or monopoly in any state or federal jurisdiction within the seven-year period immediately preceding execution of this certificate?


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3. Subject to an injunction, judgement, decree or permanent order of any state or federal court entered within the seven-year period immediately preceding execution of this certificate where such injunction, judgement, decree or permanent order involved the violation of:

fraud of registration provisions of the securities laws of that jurisdiction, or

the consumer fraud laws of that jurisdiction, or

the antitrust of restraint of trade laws of that jurisdiction?


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Has ANY person who currently is an officer, director, trustee, incorporator, or who, in a for For-Profit corporation controls or holds more than 10% of the issued and outstanding common shares or 10% of any other proprietary, beneficial or membership interest in the corporation been:

Has the corporation filed a petition for bankruptcy or appointed a receiver?

Has any person who is currently an officer, director, trustee or incorporator, or who, in a For-Profit corporation, controls or holds over 20% of the issued and outstanding common shares, or 20% of any other proprietary, beneficial or membership interest in the corporation, served in any such capacity or held a 20% interest in any other corporation on the bankruptcy or receivership of that other corporation?


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A copy of your responses will be emailed to the address you provided.
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