RMHS Board of Directors Application
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
I am interested in serving as a member of the RMHS Board of Directors:
Please provide a brief statement of interest, including any experience, skills or expertise that will allow you to be an asset to the council, board, or committee.
Please check all boxes that apply to your current and past professional experience or areas of expertise that indicate a perspective you will bring to the committee:
Denver Resident
Person Accepting Services
RMHS Contractor/Provider
Media
Legal
Finance/CPA
Operations & Regulations
Government Official
Family Member
Community Partner (eg., Denver Public Schools,mental health center)
Do you have any experience serving on any other boards, councils, or committees in the last five years? If so, please list the organization(s).
Please Provide Your Resume:
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