BPMT Board Recruitment 2023

Board of Psychedelic Medicine and Therapies (BPMT)

Board of Directors Application
Thank you for applying to become a Board Director with the Board of Psychedelic Medicine and Therapies (BPMT). Our mission is to certify psychedelic-assisted therapists to provide competent, safe, and ethical delivery of psychedelic medicine in an equitable and accessible care for members of diverse populations. We aim to achieve this mission through building an inclusive, collaborative, and thorough certification test and process for psychedelic assisted therapy practitioners.

The essay questions provided below are intended to give us an understanding of your personal journey, vision, skill set, and commitment to helping us build this organization with care and integrity. We appreciate your interest in joining us and contributing towards achieving our mission.

Please ensure that you answer all essay questions completely and concisely, while being mindful of the specified maximum word limit.

A complete application must contain the following:
- A completed and signed BPMT Board of Directors Application
- CV or Resume
- A completed and signed Conflict of Interest Policy
- A letter of recommendation (sent to BPMT directly from the letter-writer)
- Additional materials: any reference material such as your website, art/expressions/stories, videos, or publications
Letter of Recommendation

Please have the writer of your Letter of Recommendation (LOR) email the LOR directly to boardrecruitment@pmtboard.org with your full name in the subject line. The Letter of Recommendation must include the following information:
1. The reason you believe the nominee is the right person to be a Board of Director
2. Expertise (e.g., in psychedelics, board service, credentialing/testing, etc.)
3. Ability to work well on teams
4. Community engagement/accomplishment(s)
5. Commitment to justice, diversity, equality, and inclusion
For more information about BPMT and our values please visit our website, psychedelicsboard.org. To ensure thoroughness, please make sure to review the BPMT's Board of Directors Job Description.

The BPMT Board of Directors Application closing date:

Friday, June 7, 2024.

We look forward to reviewing your application and learning more about how you can contribute towards the success of our organization.
Personal Information
Name*

First NameLast Name
Preferred Name*
Pronouns*
Date*

MonthDayYear
Date
Email Address*
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone*
Format: (000) 000-0000.
Cellular Number*
Format: (000) 000-0000.
Demographic Information
Place of Birth*
Date of Birth*
Gender Identity*
Ethnicity*
Nationality*
19 years or younger20 - 24 years25 - 34 years35 - 44 years45 - 54 years55 - 59 years60 - 64 years65 - 74 years75 - 84 years85 years and older
What is your educational background (formal education and any training related to psychedelic medicine and therapies)?*
Business/Work Information
Title/Profession*
Company/Organization*
Email*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Work Phone*
Format: (000) 000-0000.
Extension
How did you learn about this opportunity? *
Personal Journey
Please tell us a story of how you’ve come to this path.*

0/200
Please list your current and past Board experiences.*

0/200
What are your current associations and/or club affiliations (include titles if possible). Please note how any of these might be an asset to BPMT and your work on the board.*

0/200
Please tell us why you are interested in joining this Board.*

0/200
Please tell us about your personal identity/identities that are important to you. How are these contributing to your role on the board?*

0/200
Please tell us about your previous experience with non-profit leadership, testing/credentialing, and other experiences that you believe will be an asset to your work on the BPMT Board of Directors.*

0/200
Skills and Interests
Please describe your greatest strengths and weaknesses and how they will impact your work as a board member.*

0/200
What experiences, expertise, skills, connections, or resources would you bring to BPMT? *

0/200
Please elaborate on your personal involvement with justice, equity, diversity, and inclusion and how that relates to the burgeoning field of psychedelics and/or test development and credentialing.*

0/500
What does a successful board credentialing test and process mean to you?*

0/200
What aspects of the credentialing test and program development process do you feel you can best contribute to as a BPMT Board member?*

0/200
One of the major decisions the board will need to make is in how BPMT relates to various stakeholders. What are your thoughts on this organization's relationship with industry stakeholders such as pharmaceutical and insurance companies and/or large for-profit training programs or clinics? *

0/500
Have you ever been engaged in any specific fundraising efforts? If so with whom, how, and what was the amount raised? What fundraising efforts can you engage in on BPMT's behalf?*

0/200
Board ChairSecretaryTreasurerCompliance OfficerCommittee ChairOther
GovernanceDevelopment/FundraisingEthicsExam Development & AdministrationGrievance and DisciplineOther
Directors of the BPMT Board might take on special projects, in addition to their Board responsibilities, to assist BPMT in a reciprocity program, social change, and scholarship initiatives. Please let us know if you have any specific project ideas you would like to propose. *

0/200
Additional Information
Explain any potential conflicts of interests (COIs) you may have as a BPMT Board of Director and how you will manage any potential COIs.*

0/200
At a minimum, as a BPMT Director, you will need to attend biweekly meetings (90-120 minutes) with pre-meeting readings and participate in 1+ committee. Approximately how many hours per month can you dedicate to BPMT?*

0/200
Is there any additional information you would like to share about yourself that would help BPMT better understand your qualifications and potential contributions to the organization?*

0/250
File Upload

Please upload the following documents:
CV or Resume*

*Additional reference materials include art, expressions, stories, videos, or publications.
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Completed and signed Conflict of Interest Policy*

Cancelof
Additional reference materials.*

*Additional reference materials include art, expressions, stories, videos, or publications.
Cancelof
Please share link(s) to any reference materials, such as your website, art, expressions, stories, videos and/or publications.
Declaration of Candidacy

Please read the following information carefully. Sign below to declare your candidacy and acceptance of the terms in this section of the application.
BPMT is actively seeking to fill 2 to 4 board positions.

Board terms are staggered, with Directors initially serving for either one (1) or two (2) years. As we are still in our “start-up” phase, Board meetings will be held monthly for one to two hours (maximum) in addition to a monthly working group meeting for 1.5 hours. There will pre-meeting reading materials prior to meetings.

The Board may adjust the cadence of the meetings and determine what board committees are needed to help facilitate the work of the board. Board members are expected to be timely and present at every meeting, read all materials prior to meetings, and come to meetings ready to actively engage and participate. Directors must also participate in fundraising and development activities (to include financial donations if able) to fulfill the mission of the organization.

For your reference: Service on BPMT’s Board of Directors is without remuneration. As a registered organization in California, BPMT is legally prohibited from offering compensation to its Board members for their board-related duties. However, the organization covers travel, accommodations, and reimbursement expenses incurred in relation to BPMT duties, ensuring that members can fulfill their responsibilities without additional financial burdens.

Will you be able to make this commitment to BPMT?

_____ Yes _____ No ____ Maybe

Please indicate any concerns below:
.
.

PLEASE ADD ANY ADDITIONAL INFORMATION YOU WOULD LIKE US TO CONSIDER:
I certify, by my signature, that the information contained within this application and all supporting documents (i.e., resume, recommendation letters, etc.) is true, accurate, and complete to the best of my knowledge. I hereby give permission to BPMT to verify all credentials and work experience provided in my application. Please provide your e-signature.
Signature*
The application process will conclude on June 7, 2024. Please have a list of references available upon request.

Thank you for your interest and time.

The Board of Psychedelic Medicine and Therapies values diverse perspectives and life experiences. All qualified applicants will be considered regardless of race, color, ethnicity, creed, national origin, ancestry, gender, marital status, disability, religious or political affiliation, age, sexual orientation, gender identity, or protected veteran status.

Board of Psychedelic Medicine and Therapies (BPMT)

Personal Information

Demographic Information

Business/Work Information

Personal Journey

Skills and Interests

Additional Information

File Upload

Declaration of Candidacy