EDCI Board Application

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Thank you for your interest in the Eating Disorder Coalition of Iowa's Board of Directors. Please fill out the application below, submit and we will review. Questions can be directed to President Kristy Hoffman Rieken, RDN, LD, LMNT (k.hrieken@edciowa.org). Thank you!

Email *

Date *

YYYY

Name *

Cell Phone Number *

Does EDCI have permission to text you? *

Street Address, City, State, Zip *

Which of the following best describes you? *

choose all that apply

recovered

professional treatment team member - assist others with recovery

Parent/caregiver of someone who has battled an eating disorder

Other:

Required

Occupation (Employer/School/Organization) & Address *

Please indicate how you learned about EDCI. *

Are you presently involved with EDCI? (If so, how?) *

What gifts, talents, experience, and/or personality traits would you bring to this position? *

List current or past positions held (including Board of Directors) or services performed for other organizations. *

Please describe other community involvement or interests. *

What motivates you to be involved with EDCI and to serve on the Board of Directors? *

EDCI Board Member requirements include (at a minimum) the following obligations. *

your typed signature at the bottom of the list indicates your agreement to commit to these events, unless there is an urgent matter which you discuss with other board members.

First Friday of the month 6:30-7:45 am Zoom meeting

Annual Board meeting retreat on June 3, 2022

Type your name:

Required

Do you agree with the stated mission and vision of EDCI? *

MISSION: To prevent eating disorders and serve as a catalyst of hope, acceptance, understanding and healing for all impacted by eating disorders. VISION: EDCI envisions an Iowa without eating disorders.

YES

If no, please explain why not.

Given the nature of the board, I agree to put my own self care as a priority in my life. If for any reason my own health or my loved one's recovery is challenged, I agree to talk with the board and take a leave of absence. *

Do you have any comments you would like to make or questions you would like answered?

Send me a copy of my responses.

Submit

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