HCCA Board Member Application
Healthy Communities of the Capital Area board members are individuals who help carry out the organization's mission to convene and support individuals, organizations, and communities to collaborate on quality of life and public health issues. Board members also support HCCA's Core Values of Authentic Engagement, Sense of Place, Equity, Honesty, Dedication, and Wellbeing. HCCA partners with local people and organizations who work to improve the health and quality of life in Kennebec County.

As a group, HCCA board members provide strategic guidance, are representative of different geographic areas across HCCA's local service area of Kennebec County, represent different demographics, and possess skills, expertise, and lived experience to help the organization thrive. Areas of expertise that the board is currently seeking include knowledge of non-profit management with a particular focus on non-profit insurance requirements, federal and state contract management, and fundraising and development; ME food system expertise/involvement in the local food system; and representatives of northern Kennebec County. Guiding the organization are the Community Health Improvement Plan priorities and the organizational strategic priorities that can be viewed on HCCA's website (link below).

Please complete the application below by March 17, 2025. If you need more time to complete the application, please let Renee Page know at r.page@hccame.org. Potential new board members will be invited to attend HCCA's March 24, 2025 board meeting 3:00-4:30 via Zoom or in person at University of Maine at Augusta.

Please read over the board member roles and responsibilities to make sure it is a good fit for you: https://drive.google.com/file/d/1mX2hz7YrHflU7596sWKIOMBTtpotJjgN/view?usp=sharing

Learn more about HCCA (scope of work, values, staff, current board members, and more) at: https://www.hccame.org

For more information or if you have questions, contact Renee Page at r.page@hccame.org 

Please tell us more about you and why you would like to serve as an HCCA board member.
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Email *
1. Last Name *
2. First Name *
3. Credentials
4. Organization (if student, retired, or currently not working, what is your most recent professional affiliation) *
5. Position/Title (if student, retired, or currently not working, please tell us about your most recent and/or relevant work experience) *
6. Organizational Mailing Address (many of HCCA's partners, including funders, ask where board members physically work and reside)
7. Work Phone
8. Home Address (many of HCCA's partners, including funders, ask where board members physically work and reside) *
9. Home or Cell Phone *
10. Home or Cell Phone (additional/optional)
11. Preferred email address (how you would like to receive communications from HCCA about meetings, events, advocacy, etc.) *
12. Email address for googledrive access and document sharing (HCCA uses googledrive for board meetings and materials) *
13. HCCA works to improve public health and quality of life, and does this by partnering with others on projects and initiatives. Many of the sectors HCCA has worked with are listed below. What sector do you represent (check all that apply)? Please feel free to add to this short list by using the Other option. *
Required
14. HCCA does a lot of work in primary prevention (defined as reducing the risk for negative health outcomes) in the areas listed below. Which of these areas in public health/community health do you feel passionate about and/or have experience (select all that apply)? *
Required
15. Are there other areas of public health that interest you?
16. What is your current and past involvement with HCCA (involvement in projects, participation on committees/task forces, partner in carrying out HCCA's work, etc.)? *
17. Why are you interested in serving as an HCCA board member? (Share about your availability to take an active role, what you could add to the organization, etc.) *
18. How did you hear about this opportunity and/or did someone specifically ask you to apply to join HCCA's board? If so, who?  *
19. HCCA's vision is: Happy, thriving, interconnected people, organizations, and communities who are empowered to improve their quality of life. What do you envision HCCA could accomplish, and how would you like to help? *
20. HCCA's tagline is making connections ~ improving lives, relying on the power of networks to build trust and accomplish big things! Please list any networks or organizations that you are affiliated with that could assist in accomplishing HCCA's goals. *
21. HCCA is committed to offering professional development opportunities for our board members to help them be more effective in their roles and to strengthen the organization. The board has expressed a desire for professional development on the following topics: a better understanding of governance and leadership; non-profit insurance needs; diversity, equity, and inclusion; and resource and fund development. What are some potential professional development topics (those listed above or others) that you could share knowledge with the group?  
22. As a public health non-profit organization, HCCA must raise 100% of the funds required to support its community work including organizational operations, education and advocacy for public health issues, and staying apprised of current public health best practice. HCCA is also undergoing a period of signifcant growth (staffing, grant revenue, and local service area expansion). What skills, expertise, or perspective can you bring to HCCA to ensure organizational sustainability? *
Required
23. HCCA primarily serves Kennebec County, although many projects have a wider geographic reach. Where in Kennebec County are you based or do you carry out your work? Check all that apply. *
Required
24. HCCA strives to attain diverse representation among staff and board members and is often asked for aggregated demographic information about staff and board members. Please share the following Optional Demographic Data. What is your gender identity?
Clear selection
25. Optional Demographic Data: Do you identify as LGBTQ+?
Clear selection
26. Optional Demographic Data: What is your age?
Clear selection
27. Optional Demographic Data: which race(s) do you identify with?
28. Optional Demographic Data: Do you identify as Hispanic or Latinx?
29. Optional Demographic Data: Disability Status - Do you identify as:
Clear selection
30. Optional Demographic Data: Do you identify as one or more of the following?
Clear selection
31. Optional Demographic Data: If you selected one of the above options, what is your country of origin?
32. Please provide a brief bio that will be featured on HCCA's website and may be included in grant applications when requested. Please highlight your interest and expertise in public health. Maximum 200 words. For inspiration, visit: https://www.hccame.org/about/board-of-directors/  *
33. Please share anything else you would like HCCA to consider.
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