Women's Health Tech

Board Membership

Fill out this form to apply for the board

First Name

Last Name

Title

Organization

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?