PSAHPERD Board of Directors Application Form
Please complete the following application and a biography of 500 words or less. Questions can be addressed to the Executive Director, Jessica Peconi-Cook peconicooks@gmail.com. Board members are expected to be on an hour conference call once a month, and no more than 2 in person meetings (if needed) at a central location in the state. Initial board terms are a 2 year commitment.
Candidate's Name *
Your answer
Email *
Your answer
Home Address *
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Preferred Telephone Number *
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Is the above listed phone number a cell, work, or home phone number? *
Please describe your specific and unique qualifications that will enable you to a be successful member of the board of directors. *
Maximum of 500 words or less.
Your answer
Please describe the contributions you have made to your profession of which you are most proud. *
Maximum of 500 words or less.
Your answer
Please write a brief professional biography. *
Maximum of 500 words or less.
Your answer
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