Become a CVHS Board Member


Statement of Interest/Application for Board or Committee Service

Thank you for your interest in becoming a CVHS board member. You can download the PDF application or fill out the form below and submit your application. There is also the option at the bottom to save your application and continue later.

Additionally, the Board Member Profile PDF is below for download. This document outlines what it is like to be a CVHS board member and other important information that can aid in your decision. We look forward to reviewing your application.

The CVHS Board

CVHS Board Member Application

CVHS Board Member Profile

CVHS Board Application

  • Applicant Information

  • Employment Information

  • Committee Selection

    Board members are required to hold positions within committees based on skill set. Please indicate a minimum of TWO committees your would like to be on.
  • Application Signature

    By signing below, I certify all information on this application is true and correct to the best of my knowledge.
  • Date Format: MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.

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