Board of Directors Application Form

This field is for validation purposes and should be left unchanged.

Please fill out all form fields. If the question does not apply, please enter N/A.

Your Name(Required)

I would like to be addressed as:

How Can We Reach You?

We would love to chat with you. How can we get in touch?
Office Address:(Required)
Home Address:(Required)
Preferred Email Delivery:(Required)

Preferred US Mail Delivery:(Required)

Preferred Phone:(Required)
Which LFS Board Would You LIke to Apply For?(Required)
Skills(Required)
I would be interested in joining the following committees:(Required)
LFS appreciates the diverse perspectives of its BOD members. Please share if you, someone you know, or someone you have cared for has had experiences with mental health or substance use issues?(Required)