Would you like to be on the board of Directors? Fill out the form and we will be in touch to discuss the next step. Board of Directors Application Step 1 of 3 33% Personal InformationName* First Last Residence Address* Street Address Address Line 2 City ZIP / Postal Code Employment InformationBusiness Name* Title/Position* Address* Street Address Address Line 2 City ZIP / Postal Code Phone*Email* Type of Business/Organization ExperiencePlease list boards and committees that you serve on, or have served on (business, civic, community, fraternal, political, professional, recreational, religious, social).Start Date MM slash DD slash YYYY Start Date MM slash DD slash YYYY Organization Role/Title Start Date MM slash DD slash YYYY Start Date MM slash DD slash YYYY Organization Role/Title Education/Training/CertificatesOptionalHave you received any awards or honors that you’d like to mention? Skills, experience and interestsPlease check all that applyI have skills or experience in the following area/s: Finance, accounting Personnel, human resources Administration, management Nonprofit experience Community service Policy development Program evaluation Public relations, communications Education, instruction Please check all that apply Other skill, interest, experience Other skill, interest, experience Other skill, interest, experience Please list any groups, organizations or businesses that you could serve as a liaison to on behalf of NCHCC.Please tell us anything else you’d like to share.Attach Resume (optional)Accepted file types: pdf, jpg, Max. file size: 512 MB.File must be in PDF or JPG format and not exceed a maximum file size of 500kb.Signed By: First Last Captcha
