Board Interest Form (CGS Family Partnership, Inc.)

Name:*

Phone:

You can list more than one #. Please say if it's a cell, home or work phone.

Email Address: *

If you list more than one address, please indicate which we should primarily use to contact you.

Describe your connection to Cumberland, Gloucester, and/or Salem Counties:*

For example: “I live in Cumberland”, or “I work in Gloucester”.

Has one of your family members received services through the Children’s System of Care (ex: Care Management Organization, Family Support Organization, Mobile Response, etc):*

YesNoI don't knowPrefer not to answer

If comfortable, please describe [optional]:

Ex: my nephew used Mobile services a few years ago.

Please tell us about your interest in the Board. What would you hope to contribute or experience through Board membership? [Optional] if you prefer, you can submit a resume or a formal letter of interest to CGSboard@cgscmo.org. *

[Optional] Is there anything else you wish to share with us?

BOARD MEMBER POSITION DESCRIPTION

Description of the Organization:

CGS Family Partnership (CGS) is the care management organization (CMO) for Cumberland, Gloucester, and Salem counties in southern New Jersey. CGS serves families and youth 5-21 years old who have moderate to severe behavioral, substance use, intellectual or developmental needs. CGS serves youth and families using the Wraparound Approach. CGS is a private, non-profit organization that maintains a contract with the Department of Children and Families (DCF), Children’s System of Care (CSOC).

Mission: to maintain the children and youth we serve safely at home, in school, and in their communities by providing support, education, and advocacy; and connecting these young people to appropriate services and resources.

Description of the Board:

The CGS Board of Directors (BOD) is comprised of 5-18 volunteer Board Members (AKA “Trustees”) from the community who reflect the diversity of the communities we serve. Board Members may have directly participated or received services through the Children's System of Care or be providers or community members dedicated to the governance of the organization. Board Members typically serve 3-year terms, with the possibility of serving consecutive terms (although, there is the option to serve a 1 or 2 year term). The Board holds an Annual Meeting and Regular Board meetings approximately 6-10 times per year. A Special Meeting may be called, as needed. The Board also maintains Board Committees.

Expectations of the Board as a Whole:

Determines the mission & purpose of CGS CMO; provide oversight to ensure adherence to the mission.
Ultimate governance of the care management organization (CMO).
Appoints the CEO to carry out the agency’s mission and oversee management of its operations.
Supports the CEO, offers administrative guidance, and evaluates the CEO’s performance based on their job description; determines whether to retain or dismiss the CEO.
Ensures financial health through oversight of fiduciary and financial management; ensures resources dedicated to the organization are used to support the mission.
Approves corporate and agency policies.
Strategic and organizational planning.
Acts as ambassadors of the CMO within the community; enhancing CGS’ public image.
Assesses its own performance as the governing body of CGS.
Follows CGS’ bylaws, policies, and board resolutions.
Signs an annual disclosure of any potential conflicts of interests and discloses any on an as needed basis; recuses themselves from decision making when they have any real or perceived personal or financial interest.
Maintains confidentiality of all internal CGS Family Partnership matters.

Additional Expectations of Each Trustee:

Learns and supports the mission, values, and principles of CGS Family Partnership (CGS). Learn more: https://www.cgscmo.org/what-we-do/
Prepare for, attend, and conscientiously participate in at least 75% of board meetings.
Participate fully in at least one or more Board committees, when participation is needed.
Learn about the policies, programs, and needs of CGS.
Faithfully read and seek to understand CGS’ financial statements and reports presented to the Board.
Serve as an ambassador and advocate for CGS.
Appropriately leverage connections, networks, and resources to help CGS fully achieve its mission.
With support, learn and apply the basic practices of Robert’s Rules of Order.

Qualifications:

Meaningful ties to at least one of the counties CGS serves and has an investment in CGS’ mission (ex: lives, works, volunteers, received System of Care services, or another connection to Cumberland, Gloucester, or Salem counties).
Commitment to actively participate in at least 75% of Board meetings.
Discloses any potential conflicts of interest and agrees to follow CGS policies and procedures regarding conflicts of interest (ex: may not be a family member of CGS employee; may not concurrently sit on the Board of Directors with a participating provider agency; will recuse self from any vote or decision which may present a conflict of interest).

Skills:

Computer/IT access: can regularly check electronic correspondence (emails, shared documents) and provide timely responses; able to participate in video conference calls.
Ability to effectively & respectfully communicate and collaborate with others.
Exemplifies the preferred values and practices of a non-profit leader.
Ability to work well independently and contribute to Board tasks.
Applies analytical thinking, problem-solving, and organizational skills for effective and efficient processes.
Able to preview and understand reports and information shared with the Board and make meaningful contributions to Board meetings and tasks.

By signing below, I attest I provided accurate infromation and acknowledge I have read, understand, and agree with the contents of this Board description.*

Date

Board of Trustees Interest Form

Please read the position description and sign below to indicate you understand and agree to its content.