Board Membership Application

Board Application

Demographic Information

Your responses in this section are voluntary and do not have an impact on your application status. We collect this information for internal data analysis and anonymized reporting to funding organizations.

Professional Background

Please tell us about your professional background.

Mission Alignment

As an education dedicated to adolescent care, we're interested in your reasons for wanting to serve with us.

Governance & Service

Some description about this section

Expectations of Serving Board Members

The minimum expectations for board members are listed below. Please confirm your ability and willingness to meet each.

If selected for the board:

Next Steps

After submitting this application, please email your resume to

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