Board Application

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Contact Information

Name*

First Last

Preferred Pronouns*

Email*

Phone*

Address*

Street Address City State / Province / Region ZIP / Postal Code

Background & Experience

Why are you interested in serving on the board?*

What skills, experiences, or areas of expertise will you bring to our board?*

Please describe your understanding of and commitment to recovery.*

Diversity, Inclusion, and Anti-Racism

What does diversity, equity, and inclusion mean to you, and how do you practice these values in your personal and professional life?*

How do you define being an ally? What actions do you take to support marginalized communities?*

How do you work to identify and challenge personal biases to view situations through a non-racist and non-discriminatory lens?*

Commitment & Involvement

Board participation involves time commitments for meetings, fundraising, and community outreach. Are you able to meet these commitments?

Yes

Please explain*

Do you have experience serving on non-profit boards or advisory councils?

Yes

Please explain*

Resume Upload

Upload Your Resume

Accepted file types: pdf, docx, Max. file size: 128 MB.

Acknowledgment

By submitting this application I affirm that the information provided is true and complete. If selected as a member of the Board of Directors, I agree to uphold the mission, values, and responsibilities of Divergent Recovery Center.

Sign your name below*

Board of Directors Application