Southern Nevada Homeless Continuum of Care New Board Member Application
Thank you for your interest in participating on the SNHCoC Board.  Please note that the commitment includes attendance of a monthly meeting on the 2nd Thursdays from 2:00-4:30 pm.  Also, members are encouraged to participate in working groups to accomplish on-going work related to the operations of the Continuum of Care. Membership terms begin in January, with new members being approved by the members of the Continuum of Care.    
As you are completing the application, please note that name and contact information may be shared on board roster documents that are shared with board members, staff, members of the Continuum of Care and the interested public.  To promote sustainability, email addresses are collected to provide communication in relation to board business.
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电子邮件地址 *
First and Last Name *
Telephone Number *
Position Title (if applicable) *
Agency/Organization *
Mailing Address *
City *
State *
Zip Code *
Please check the following organization type that applies to you: *
Please check ALL sub-populations that you may represent: *
必填
If you have lived experience of homelessness, please include the most recent dates of your last experience.  
Please check the applicable Board Seat(s) for which you want to be considered: *
必填
Please explain what qualifications you possess that make you a desirable candidate for this seat(s) on the SNHCoC Board *
Please limit your response to 3,500 characters. If you are unable to provide required information, please state “None”
Please explain in detail how you intend to represent the Seat(s) for which you have applied.  Please provide examples of the ways in which you would influence, support and further this representation for each Category you have listed.  Please include any existing memberships in organizations and networks that you believe would strengthen your capacity to represent these Categories *
Please limit your response to 3,500 characters. If you are unable to provide required information, please state “None”
Please list any relevant boards, commissions or committees that you have served.  Please indicate the mission and primary goal/s of each and explain your role in achieving productive outcomes.  Include details  that fully describe how your skills, abilities, and relationships within professional, business or community networks provided you with the capacity to affect such outcomes. *
Please limit your response to 3,500 characters. If you are unable to provide required information, please state “None”
Please explain why you have an interest in serving on the SNH CoC Board, including the level of commitment you would be able to provide to the SNH CoC Board.  Please provide an outline of the Assets, Resources, Knowledge and Expertise you are able to bring to the Board *
Please limit your response to 3,500 characters. If you are unable to provide required information, please state “None”
Please provide any additional information you would like considered with your application.  
Please limit your response to 3,500 characters.
Upon submitting this form, all information will be considered public information. This form will be kept on file for four (4) years from the date of submition. It is the applicant’s responsibility to submit a new/updated form after that time or submit a revised form if information changes. This form does not constitute an application for employment.
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