HMIS Board Secretary Application
*
1.
Name
(Required.)
2.
Organization/Agency:
*
3.
Phone
(Required.)
*
4.
Email
(Required.)
*
5.
What is your race?
(Required.)
African American/Black
Asian
Caucasian/White
Hispanic/Latina/Latino
Native American
Multiple Races
Prefer Not to Answer
Prefer to Self-Describe (enter answer below)
*
6.
What is your geographic location? (check all that apply if serving more than one)
(Required.)
Metro
Suburban Metro
Northeast
Northwest
Central
Southeast
Southwest
West Central
*
7.
Do you have lived experience of homelessness?
(Required.)
Yes
No
Prefer Not to Answer
*
8.
Please describe your experience and length of time using HMIS? (data entry, run reports, etc.) If you have not used HMIS, please enter N/A.
(Required.)
9.
What HMIS committees/workgroups have you served on? (please list)
10.
Describe what professional skills and experience you would bring to the board?
11.
In one or two sentences, describe why you are interested in this position?
12.
Is there any additional information that you would like the board to know?
*
13.
As you consider this opportunity, please review the following expectations and indicate whether you are able and willing to follow the the following.
a. I will regularly attend HMIS board and Executive Committee meetings.
b. I will provide concise minutes to the HMIS Executive Committee within
five days of the board meeting.
c. I will stay informed on HMIS board issues, policies, and other board
matters by reading the Governance packet information, and board packet
materials.
d. I will work in good faith with HMIS staff and board members as
partners towards achievement of our goals.
(Required.)
Yes
No
Current Progress,
0 of 13 answered
