En Espaņol
24 HOUR CRISIS LINE: 1-866-WE-LISTEN (935-4783) or 919-967-7273 or 919-338-0746 (TTY)
Donate Now! — Your Support Helps to Build a Safer Community

Board of Directors and Committee Interest Application

SECTION ONE: Background Information

First Name:

Last Name:

Address:

Place of Work:

Phone (home):

Phone (work):

Email Address (home):

Email Address (work):

Fax (home):

Fax (work):

Preferred method of contact:

Email
Telephone
Mail

 

Work
Home


SECTION TWO: Skills and Experience

OCRCC Involvement:

Other Organizational Affiliations/Memberships:

Skills and areas of interest that will benefit the OCRCC:

advocacy experience
business experience
criminal justice experience
government experience
legal experience
mental health/medicine experience
accounting
fundraising
human resources
marketing/PR/communications
mediation/dispute resolution
multicultural/diversity experience

Other skills/areas of interest:


SECTION THREE: OCRCC Service

Skills and areas of interest that will benefit the OCRCC:

Strategic Planning
Diversity
Finance
Development
Nominating
Personnel

Why are you interested in becoming a member of the OCRCC Board of Directors or serving on one or more of its committees?