DBSA California Board and Committee Interest Form

This survey is for those who wish to nominate themselves (or others) to positions of leadership in the Depression and Bipolar Support Alliance of California. For descriptions of the various positions and committees, go to: https://dbsacalifornia.org/board-and-committees/

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* 1. First name?

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* 2. Last Name

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* 3. Email address

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* 4. Zip Code

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* 5. Phone number

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* 6. How long have you been involved with DBSA (participant, leader, facilitator)

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* 7. I would like to nominate myself for the following position(s):

Board of Directors Member

Legislative Committee

Education Committee

Outreach Committee

Business Development and Fundraising Committee

Communications Committee

Budget and Finance Committee

I would like to volunteer in another capacity

Other (please specify)

DBSA California Board and Committee Interest Form

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* 1. First name?

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* 2. Last Name

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* 3. Email address

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* 4. Zip Code

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* 5. Phone number

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* 6. How long have you been involved with DBSA (participant, leader, facilitator)

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* 7. I would like to nominate myself for the following position(s):

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* 8. Why are you interested in this position (or these positions)

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* 9. If interested in committee service, what experience or special interest do you have in that particular area?

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* 10. What field are you employed in?