Board of Directors Expression of Interest
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Email address  *
Phone Number *
Full Name  *
Which MGMA State Chapter are you interested serving on the Board of Directors? *
The Board of Directors meets for one hour each month, Monday through Friday, via Zoom. Would you be able to commit to attending these meetings? *
Briefly describe your professional background. *
Do you have prior board experience? *
  If yes, please list the board(s) you currently serve on or have served on in the past, and indicate whether you are still serving.  
What skills or expertise do you bring to our board?
(Check all that apply)  *
Required
  Would you be interested in serving on the Board in an officer (seated) position ? Check all that apply
Clear selection
Why are you interested in serving on our Board of Directors? *
What do you hope to gain from this experience? *
If selected, what is the best way to contact you to discuss your application?
Clear selection
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