Home » About Us » Board of Trustees » CrescentCare Board of Trustees application

CrescentCare Board of Trustees application

1. How are you familiar with NO/AIDS Task Force d.b.a. CrescentCare?*
2. What about our Agency makes you want to join the CrescentCare Board?*
3. What skills, relevant work, or volunteer/life experience will you bring to the Board? Please explain.*
4. Have you served on a board before?*
- Yes
- No
If yes, please list the organizations and the length of time you served on these boards.
Click the + icon to add rows as needed.
Organization Length (e.g. 10/16-10/17)
5. The length of a Board term is 3 years (one full board meeting once a month and one committee meeting once a month, or as needed). How will you be able to commit to that length of time?*
6. Serving on the Board of CrescentCare is a time commitment beyond Board meetings. How will you be able to read the materials ahead of board meetings as well as be available to assist in fund raising?*
7. Do you now, or would you consider obtaining your health-care services at CrescentCare?*
- Yes
- No
8. Do you have any criminal history relevant to serving on a board?*
- Yes
- No
If so, please explain below.
(Please note, a criminal history will not automatically disqualify a candidate, rather an individual factual determination will be made by a Board Background Check Review Committee.)
9. Is there anything relevant you would like us to know about you?*
10. Please upload your Resume
Accepted file types: txt, pdf, doc, docx, Max. file size: 50 MB.
Unique ID
This field is hidden when viewing the form
Date
MM slash DD slash YYYY
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
CAPTCHA
Email

Make an Appointment

Donate to CrescentCare

Organization	Length (e.g. 10/16-10/17)

CrescentCare Board of Trustees application

CrescentCare News