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NJPN is interested in recruiting dedicated community members that have an interest in public health, specifically addictions and other chronic diseases. Please review our website to learn more about us.

If you are interested in becoming a Board member for NJPN, please complete the following application. Once we receive the application, the Nominating Committee will review applications and determine who will be selected for consideration. If chosen, the Executive Director will contact you for a “Meet and Greet” so that you can learn more about NJPN and board responsibilities. Selected candidates will need to be voted in by the full Board at the following Board of Trustee meeting.

BOARD OF TRUSTEES MEMBERSHIP APPLICATION

* Required Field
*First Name:   *Last Name:
*Street:
*City: *State: *Zip Code:
*Home Phone: Cell:
*Home E-mail:
*Employer:
*Work Street:
*Work City:   *Work State:   *Work Zip Code:
*Work Phone:
*Work E-mail:
Work Fax:
*How would you like us to communicate with you?

*Send Correspondence to:
*Please share any background information that might be helpful in knowing what you will bring to the Board (ex. past employment, personal hobbies, volunteer work, past or present Board participation, positions held)
* Special interests for possible committee assignment:
*Why are you interested in the New Jersey Prevention Network? What do you feel you can contribute to the organization as a member of the Board of Trustees?
* If elected as a member of the Board of Trustees of the New Jersey Prevention Network, please confirm you will be able to:
Bullet ImageSubscribe to the mission and objectives of the corporation.
Bullet ImageExercise the duties and responsibilities of the office with integrity and due care.
Bullet ImageAttend Board of Trustee Meetings (9 – 10 meetings per year) (Note: Board meetings are currently held at 3 PM on selected Mondays)
Bullet ImageActively participate in Board fundraising activities.
Bullet ImageRepresent NJPN in a positive and supportive manner at all times and places.
Bullet ImageFully support the Executive Director in his/her task of administering the policies and plans established by the Board.
Bullet ImageHold active standing in committees as assigned.
By checking this box, I attest that the information I have supplied is true to the best of my knowledge.