Join the Prosumer Board of Directors

Personal Information

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip Code *

Phone *

Email Address *

Are you a person with lived experience of mental health issues? *

Yes

Have you ever attended a Prosumer meeting? *

What do you know about Prosumers and our mission? *

Availability and Commitment

The Prosumer Board of Directors meets quarterly and usually on a Saturday. The meeting generally lasts about 4 hours. Do you have any standing commitments that create a scheduling conflict? *

Yes

Please explain. *

Are you willing to participate and attend special events as needed? *

Employment, Skills and Experience

Current Employer

Company Name 🛈

Address

Position

Phone

Skills and Experience

What specific skills or expertise do you bring to our board? (e.g., finance, marketing, legal, fundraising, etc.) *

Please describe any previous board or committee experience you have had. What were your contributions and achievements in those roles? *

Have you ever worked with or volunteered for a nonprofit organization, particularly one that is peer-operated? Please describe your experiences. *

Strategic and Financial Oversight

How comfortable are you with reviewing and understanding financial statements and budgets? Please provide any relavant experience. *

Describe a time when you had to make a difficult decision in a leadership role. What was the outcome? *

References

Please provide 3 references that can speak to your qualifications and character.

Reference 1

Name

Title

Email Address

Phone

Reference 2

Name

Title

Email Address

Phone

Reference 3

Name

Title

Email Address

Phone

Additional Information and Certification

Is there anything else you would like us to know about you or your interest in serving on the Prosumer Board?

Please submit a copy of your resume.

I certify that the information in this application is true and complete to the best of my knowledge. *

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