Board of Directors Application
Name
First Name
Last Name
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Why are you interested in becoming a member of CORA's Board of Directors?
Do you have any experience in domestic violence?
Have you ever served on any Boards, Councils, Commissions, Task Forces, or Committees?
What skills and strengths do you think you would bring?
Please check if you have experience in or strong connections to any of the following:
Financial Planning/Budgeting
Fund Raising
Law Enforcement
Legal
Marketing/Public Relations
Policy Advocacy
Social Services
HR/Talent Management
IT/Tech
Social Media
Education
Faith Community
Medical/Health Issues/Community
Domestic Violence Survivor
Please list other community service or membership.
Please upload your resume in the field below.
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