Mental Health Advocacy Nonprofit
Board Member Application Form
Personal Information
Full Name
Email Address
Phone Number
City
State/Province
Professional & Volunteer Experience
Current Profession/Occupation
Relevant Experience (briefly describe)
Previous Volunteer/Board Experience
Interest in Organization
Why are you interested in serving as a board member?
How do you believe you can contribute to our mission?
Please list any specific skills, expertise, or networks you can bring
Additional Information
Potential Conflicts of Interest (if any)
How did you hear about us?