Health360 BODs Application
Name
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Last Name
Organization
Title
Address
Street Address
Street Address Line 2
City
State / Province
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Email
*
example@example.com
Phone Number
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Reference
Name
First Name
Last Name
Organization
Title
Email
example@example.com
Phone Number
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About you
Why are you interested in serving as a member of the H360 BOD?
What skills or abilities would your membership bring to the H360 BOD, including relevant experience in equity and inclusion, mental health, public health,resource/fund development, public relations, legal, financial. etc.
Health360 actively strives to embody inclusive leadership behaviors and traits in all personal and professional interactions. What background, experience and perspective could you bring to our goal of inclusive leadership?
Your resume
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