Board of Director Application






Your Name (required)

Gender (required)

Race/Ethnicity (required)

Address (required)

Place of Work (required)

Work Address (required)

Cell Phone

Home Phone

Work Phone

Personal Email (required)

Work Email

Fax

Preferred Method of Contact (required)
EmailPhone (C)Phone (W)Phone (H)

Skills and Experience

OCRCC Involvement (required)

Other Organizational Affiliations/Memberships

Skills and areas of interest that will benefit the OCRCC (required)

advocacy experiencebusinesscriminal justicegovernmentlegalmental health/medicineaccountingfundraisinghuman resourcesmarketing/PRcommunicationsmediation/dispute resolutionmulticultural/diversity

Language(s) spoken (required)

Other Skills and Areas of Interest

OCRCC Service

Skills and areas of interest that will benefit the OCRCC (required)
Strategic PlanningDiversityFinanceDevelopmentNominatingPersonnel

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

  • 24-Hour Help Line:

    • 866-WE-LISTEN (866-935-4783)
    • 919-967-7273 (Local)
    • 919-338-0746 (TTY)