Board Application
Mental Health America of Kentucky Board Application
* Required
Name
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Your answer
Email
*
Your answer
Address
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Phone number
*
Your answer
Current Occupation - Be as specific as possible (Position, Title, etc.)
*
Your answer
Interest/Experience/Connection with Mental Health
*
Your answer
Other Community Involvement/Connections
*
Your answer
What expertise would you bring to our board?
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Your answer
Date
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Comments
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