Breakthrough Alliance

Board Membership

Fill out this form to apply for the board

First Name

Last Name

Title

Organization

Which board would you like to join?

USA Europe Asia

What motivated you to express interest in becoming a board member for our organization?

Have you served on other boards or committees in the past, and if so, what was your experience?

What specific skills and expertise do you bring that would benefit our board?

Are you willing and able to attend regular board meetings, participate in committees, and contribute to special projects?

How do your personal values align with the values of our organization?

Can you provide an example of a situation where you had to make a decision in line with organizational values?

Do you have any potential conflicts of interest that might arise as a board member?

How do you stay informed about best practices in governance and board effectiveness?

Anything else you would like to mention?

All benefits of the other HITLAB members
Subscription to the BTA Hub
Priority auto-registration to all HITLAB online/virtual events
Exclusive member discounts on HITLAB Services
Exclusive features on newsletters and blogs
Featured on BTA page and on HITLAB social channels
Exclusive invite to all monthly virtual networking salons for all HITLAB initiatives
Exclusive invite to all HITLAB monthly in-person networking sessions Exclusive networking opportunities, including weekly VIP introductions Access to VIP benefits for all events Exclusive access to HITLAB Connect 360 platform Personal brand building and visibility through publication and events
Access to VIP benefits for all events
Exclusive access to HITLAB Connect 360 platform
Personal brand building and visibility through publication and events