BOARD OF DIRECTORS

BOARD OF DIRECTORS

Baton Rouge AIDS Society

is looking for dedicated members to serve on the

Board of Directors.
To apply, please call 225-923-AIDS (2437)
or fill out the form below.


	Dieldra Square SECRETARY Dieldra


	Millicent Foster MOST VALUABLE BOARD (MVB) MEMBER 2018 Millicent


	Regina Cox BOARD MEMBER Regina


	Danzel Square PRESIDENT Danzel Square


	Malcolm Johnson TREASURE Malcolm


	Tori Hatter-Smith BOARD MEMBER Tori


	Cleopatra Shelton BOARD MEMBER Cleo

To be considered for a Board of Directors position at Baton Rouge AIDS Society,complete the form below:

The fields marked with (*) are required fields.

*

Today's Date

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*

First Name

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*

Last Name

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Sex

Male

Female

Date of Birth

Age

Race

African American

Asian

Caucasian

Hispanic

Native American

Other

*

Address

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*

City

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*

State

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Zip Code

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Country

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Telephone Number

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Cell Number

Email Address

Employer

Employment Title

Employer Address

City

State

Zip Code

Employer Phone

Employer Fax

At which address would you like to receive information?

Church Affilliation

List all Educational/Professional trainings(Degrees, Certificates,etc.)

Please list other community activities and involvement:

How can your experience contribute to the mission of Baton Rouge AIDS Society?

What do you hope to see accomplished as you serve your term on the Boad of Directors?

Please explain any potential or actual conflict of interest which might affect your participation:

*

BRASS Board members must be active on at least one committee. If elected to the BRASS Board of Directors, which of the following committtes are you most interested in serving:

Bylaws/Policies and Procedures

Finance

Nominating

Personnel

Public Relations

Strategic Planning

Please select any of the following which you have special knowledge, expertise, or influence:

Business/Financial

Consumer/Family Issues

Ethnic/Minority Groups

Grant Writing/Fund Development

Health Care Providers

HIV/AIDS Services

Human Resources/Personnel

Legal Affairs/Government

Marketing

Media/Communications

Non-Profits

Religious Community

Service Development

Social Services

Women, Infant, Children Issues

Other

If you would like to provide additional information or comment, please feel free to add them within this area: