CMWN Board of Directors Candidate Application
Contact Information
Name
First Name
Last Name
Home Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Personal Phone Number
*
Format: (000) 000-0000.
Personal Email
*
Employment Information
Name of Employer
*
Job Title
*
Type of Business
*
Services and Population Served
Employer Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Work Phone
Format: (000) 000-0000.
Work Email
Preferred Method of Contact
Please Select
Personal Phone
Personal Email
Work Phone
Work Email
Application Questions
Please list the boards/committees that you currently serve on and/or have served on in the past (business, civic, community, fraternal, political, professional, recreational, religious, or social). Please include the organization’s name, your role/title, and dates of service.
*
What personal and/or professional experience do you have in the mental and behavioral health field?
*
Do you identify as a person with lived experience of mental health, substance use, trauma, and/or co-occurring conditions?
Yes
No
Are you open to sharing your recovery story?
Yes
No
What drives you to do this work? Why are you passionate about recovery?
*
What, if anything, do you know about the peer-based recovery movement, both nationally and in Colorado?
*
What does empowerment mean to you?
*
What are some talents and/or interests that you have outside of your professional life?
*
Do you have any experience developing or working with a professional working association?
*
Yes
No
Why are you interested in joining the Colorado Mental Wellness Network's Board of Directors?
*
What aspects of board service (oversight, public outreach, strategy, fundraising, etc.) are most attractive to you and why?
*
What strengths would you bring to the board?
*
What skills, experience, and interests do you have? Check all that apply.
*
Finance and accounting
Personnel and human resources
Administration and management
Nonprofit experience
Community service
Policy development
Program evaluation
Public relations and communications
Education and instruction
Special events
Grant writing
Fundraising
Outreach and advocacy
Legal
Clinical health services
Other
What experience, if any, do you have with fundraising?
*
Other relevant experience:
What do you enjoy most about working in a group and what do you enjoy least?
*
How did you find out about this opportunity? Have you been involved in organizational activities in the past?
*
Please tell us anything else that you'd like to share:
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