Application to Serve on the WPBDF Board of Directors

Please complete and submit this survey if you are interested in serving on the Western Pennsylvania Bleeding Disorders Foundation's Board of Directors. The Board of Directors will review applications and those chosen to move onto the next round will be contacted for an interview.

As a member of the Board of Directors of WPBDF, you must be fully committed and dedicated to the mission of WPBDF:
WPBDF strives to enrich the lives of those with bleeding disorders in Western Pennsylvania and respond to the needs of the community in a dynamic environment.
Board Members help WPBDF carry out this mission, consistent with the functions of the office of board member as stated in WPBDF’s bylaws
Please review the Board Member Expectations and Conflicts of Interest Policy before applying.

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* 1. Contact Information

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* 2. Age

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* 3. Have you ever served on an Advisory Board, Stakeholder Board or Board of Directors?

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* 4. If yes, please list your title(s), responsibilities, and dates of service

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* 5. Do you have volunteer experience?

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* 6. If yes, please list your volunteer experience below.

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* 7. Areas of interest or expertise (select all that apply).

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* 8. Are you able to actively serve for three years?

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* 9. Are you able to actively participate in Board Meetings?

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* 10. Is there any other information you would like to share?

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