Thank you for your interest to serve SMART Recovery by becoming a member of the Board of Directors!

Upon completion of this form, please forward three letters of recommendation via email to susan.licate@smartrecovery.org. Nominations are due by August 1st.  Appointments will be made at the September 2018 Board meeting and, if selected, board membership will commence on 12/31/18. We appreciate your support!

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* 1. Date of application

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* 2. I have work experience and professional expertise in the following area (if none apply, please check back in the future to determine if the skills you possess are needed by SMART).

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* 3. Name

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* 4. Address

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* 5. Home Phone

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* 6. Mobile Phone

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* 7. Current Employer (if applicable)

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* 8. Most recent past employers, job title and years of employment

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* 9. Please list boards and committees that you serve on or have served on (business, civic, community, fraternal, professional, etc.)

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* 10. Education or training

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* 11. Optional - have you received any awards or honors that you'd like to mention?

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* 12. How do you feel SMART Recovery would benefit from your involvement on the Board?

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* 13. I understand the requirement and will donate or solicit donations totaling $1000 per year during my term of service.

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* 14. Please tell us anything else you would like to share.

Thank you for completing this application!  Please be sure to email Susan Licate via susan.licate@smartrecovery.org to provide three letters of recommendation.

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