Board Member Application Board Member Application Name* First Middle Last Suffix Email* Enter Email Confirm Email Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code County of Residence*Day Phone*Evening PhoneOccupation & EmployerAre you a NAMI Member? (Must be a member to serve)*YesNoMember since: Please join NAMI. Board Directors must be NAMI members.I am a member of NAMI CharlotteYesNoDescribe your current or past involvement with NAMI, or why you would like to become involved. (Prior involvement is not necessary; we encourage applicants with a diversity of backgrounds and experiences).*Do you or a family member have lived experience with a mental health condition?*YesNoWhat issues are you interested in?* Strategic Planning Legislative Finance Special Events NAMIWalks Employment Cultural Diversity Children/Youth Mental Health Criminal Justice Adult Mental Health Marketing/PR Evaluation Development Fundraising What are your top three areas of career expertise?* Accounting Development/Fundraising Education Finance/Investing Mental Health Services Legal Legislative Marketing/PR Media/Journalism Executive HR/Personnel Training Technology NAMI Programs Networking Leadership Other (Specify) Other areas of expertisePlease detail your previous experience in our current areas of needNon-Profit Accounting:*Fundraising/Development:*Leadership on a nonprofit board:*Networking/Community Connections:*Legal experience:*Do you have relevant experience with other advocacy groups and/or employment? (Send resumé if relevant)*Please list other boards that you have served on in the past or that you are serving on presently:*What Committee do you see as part of your mission as a Board Member? (Check all that apply)* Networking Council (Public Policy Committee, Veterans Council, Consumer Council) Oversight of Bylaws or Finances (Bylaws/Governance Committee, Finance Committee) Planning (Programs Committee, Affiliate Development Committee) Recruitment & Board Development (Nominating Committee) Personnel Policy (Personnel Committee) Fundraising/Development-All board members are assigned to this committee. Do you have any conflicts of interest in this area?*YesNoDescribe Fundraising/Development conflicts of interest, if any:Candidate Statement*In 200 words or less, answer the following questions. Your answers will be included on the ballot, along with your name, city, occupation and a picture. 1) How are you connected to mental health and/or NAMI? 2) Why do you wish to serve? 3) What skills/knowledge would you bring to NAMI? 4) Why is NAMI important to you?Emergency Contact*NamePhoneEmail Your Initials*Date* Date Format: MM slash DD slash YYYY Please check your email after submitting this form. You will receive confirmation of your submittal and a link for uploading your image, letter of recommendation, and an optional resume. Be sure to check your spam folder if you do not see the email. CAPTCHANameThis field is for validation purposes and should be left unchanged.