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Jackson Chance Board Of Directors Application

Every member of the JCF Board of Directors is dedicated to helping NICU babies and their families while ensuring the success of Jackson Chance Foundation.

Before you complete the application, please be sure to review the Member Expectation and Responsibilities!

Name

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Phone

Verify Email

Occupation (Title & Employer)

Board Member or employee to recommend you:

Questionnaire

1. Why are you interested in serving as a Board Member?

2. If selected as a Board Member, what are you hoping to achieve?

3. What are your fundraising goals? What is your personal financial contribution commitment?

4. Are there additional contributions you hope to give the organization? (i.e. media relationships)

5. Please share any other information you feel is important.

Resume

Please upload your resume.

Biography

I have review the Board Member Expectation and Responsibilities.

If you have not, please click the link at the top of the form to review.

I have reviewed the Board Member expectations and responsibilities - I feel confident I can fulfill my role as a Board Member.