Print Application
Board Member Application
Mental Health America of Pueblo is a nonprofit professional organization which was formed in 2000 for the purpose of providing education and awareness for hope and understanding of mental health issues in Pueblo. We are affiliated with Mental Health America of Colorado and the national Mental Health America organizations.
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Occupation
Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Phone
Please enter a valid phone number.
Please indicate why you are interested in serving on the board of directors of Mental Health America of Pueblo.
Please tell us what you believe you can contribute as a member of the board, such as: experience in serving on other community boards, volunteer or professional experience relating to mental health, fundraising, knowledge of public relations, grant writing, or any other volunteer experiences.
*
I understand that as a board member, I will be expected to attend and actively participate in board meetings (which are held on a monthly basis), become a member of MHAP, and work with other board members to help raise awareness of mental health issues and expand the missions of MHAP in Pueblo.
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