Board Application
Sharp Index
My ideal board position is:
Please Select
President Elect
Vice President
Secretary
Treasurer
Physician Committee Chair
Medical Education Chair
Communication
Fundraising Chair
Programs Chair
Research Chair
Member at Large
Suicide Prevention Chair
Community Support Chair
Other
I would like to serve a term of
1 year
2 years
3 years
I would like to renew my term
Name
First Name
Last Name
E-mail
Phone Number
-
Area Code
Phone Number
How many hours per week do you anticipate volunteering?
How have you been involved with Sharp Index to date?
What previous nonprofit experience do you have?
What are your best qualifications to serve as a board member?
Potential Conflicts of Interest:
Is there a specific program you are interested in?
What would you like to contribute to Sharp Index?
What are your strengths in board service? What would you like to be involved in?
What is your interest in Physician mental health and burnout?
Submit
Should be Empty: