2024 DFA Board of Directors Application
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Cell Phone Number
Please enter a valid phone number.
Medical Specialty
Degree(s)
Medical School
Place of Employment
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What makes our mission meaningful to you?
Why do you want to be on the DFA board?
What role or connection have you had with DFA?
What are some of your prior board leadership experiences?
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What skills, connections, resources, and expertise do you have to offer and are willing to use on the behalf of the organization?
How much time a month can you commit to meetings and serving the mission?
How do you see balancing (time, your new role, etc.) this board position with your professional career and personal life?
What experiences do you have with fundraising?
Will you have a problem in asking your colleagues to donate to DFA?
What advocacy challenges do you see for doctors in the next three years?
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Please Upload CV
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Please Upload Headshot
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