Volunteer Application

Board of Directors Application

Foundation for Recovery
Thank you for your interest in joining the Foundation for Recovery. Use this form to provide useful information about yourself, to ensure the best match between you and the organization for consideration for the Board of Directors. The following information will be shared with other board members.
General Information
Name*
Email*
example@example.com
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is your affiliation to recovery?*

Person in recoveryFamily memberProviderAllyPrefer not to answer
Gender
Please select your highest level of education*
Business / Organization
Title
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact
Relation
Emergency Contact Phone Number

Area CodePhone Number

Availability & Signature
Are you available to be involved in a quarterly board member meeting, annual meeting held in Las Vegas and serve on a committee, as needed.*

YesNo
Maximum number of hours you're available per month?*
Date for availability to start board service*

MonthDayYear
Date
Signature*

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If you are not selected as a member of the Board, or if you decide not to join, would you like to be a volunteer to assist our organization in various ways that match your skills and interests?*

YesNo
Should be Empty:

Board of Directors Application