Board Application

Comments

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Please complete the following application form and submit a current résumé.

Name(Required)

First Last

Please share your residential address(Required)

Street Address Address Line 2 City State ZIP Code

In which county do you reside?(Required)

Cass Co., Missouri

Jackson Co., Missouri

Lafayette Co., Missouri

Allen Co., Kansas

Johnson Co., Kansas

Wyandotte Co., Kansas

Clay or Platte county (living in Kansas City, Missouri)

None of the above

Please note that Clay and Platte county residents who live in Kansas City, Missouri, are eligible to apply.

Email(Required)

Home Phone

Cell Phone(Required)

Employment Status(Required)

Job Title(Required)

Employer Name(Required)

Employer Phone(Required)

Employer Address(Required)

Street Address Address Line 2 City State ZIP Code

Health Forward directors are expected to meet the minimum 60 percent attendance requirement for quarterly board and committee meetings with a commitment to serve, at least, one three-year term. Are you willing to comply with Health Forward's attendance requirments and the service commitment?(Required)

Do you receive any monetary benefit from Health Forward either directly or indirectly through partnership with a funded partner from a gift, contract, or as a vendor?(Required)

If yes, please explain the nature of your monetary benefit from Health Forward.

Health Forward Foundation's mission is to achieve health equity and secure a fair and just region through leadership, advocacy, and resources. Our mission ultimately supports the achievement of our purpose: to support and build inclusive, powerful, and healthy communities charactarized by racial equity and economically just systems. Please write a brief statement that explains your interest in serving on the board to advance our mission and purpose.(Required)

To determine how you may support board needs, please select all that apply to your expertise, education, lived and/or professional experience in the following areas:

Select all that apply to your expertise, education, or experience in the following areas(Required)

Accounting, Auditing, Finance

Board Executive Leadership Experience

Brand Strategy, Communications, Public Relations

Diverse-Abilities Expertise

Diversity, Equity, and Inclusion

Education

Economic and Workforce Development

For-Profit Corporation Management

Government

Health Care Delivery OR Provider (Behavioral, Oral, Physical)

Housing and Community Development

Investment Management

Legal

Nonprofit management

Public Health

Public Policy

Real Estate

Research/Evaluation

Rural

How would your expertise benefit the board of directors in meeting the needs of the community?(Required)

Describe your previous board experience; including officer and committee chair roles.(Required)

Diversity, equity, inclusion, and anti-racism are important Health Forward Foundation values. Accordingly, the following demographic questions are required so that we may track such data and hold ourselves accountable to our values.

Race/ethnicity(Required)

Black/African American/African

Asian American/Pacific Islander/Asian

White/Caucasian/European

Hispanic/Latino/Latina/Latinx

Native American/American Indian/Indigenous

If your identified race/ethnicity is not listed, please specify:

Gender(Required)

Female

Male

Nonbinary

Gender identity not listed (Please specify)(Required)

Age(Required)

18-39

40-64

65+

Statement of Commitment: I am fully prepared to dedicate the time and energy to serve on the Health Forward Foundation Board of Directors. If selected, I will attend meetings regularly and serve as an active and involved member of the board. I will serve with the utmost integrity and sensitivity to the health needs of the community. The information I have submitted in this application is true and accurate to the best of my knowledge.

Consent(Required)

I agree to the terms.

Upload Resume(Required)

Please upload your résumé using the button below. Résumés should be a PDF file. It should not exceed 5 pages or 15mb in size. If you have issues with uploading your document, please contact communications@healthforward.org or call Health Forward at (816) 241-7006.

Accepted file types: pdf, Max. file size: 15 MB.

Purpose Areas

More About Our Work

Purpose Areas

More About Our Work