Application for Membership on the Board of Directors
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Full name *
Address *
Home phone
Cell phone
Work phone
Email *
Gender
Ethnicity
Do you know any current board members? *
If yes to the previous question, list them here
What level of HIV knowledge do you think you have? *
What level of Harm Reduction knowledge do you think you have? *
Please explain what experience you have with HIV, Hepatitis C, overdose, opioid use, harm reduction and/or other public health issues. *
Please tell us something about your background, education, and profession. *
Please write a brief personal statement as to why you are interested in serving on the board of directors. *
What do you hope to contribute to Red Project by serving on the board of directors? *
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This form was created inside of Grand Rapids Red Project.