Board Member Interest

Thank you for your interest in learning more about becoming a board member for Behavioral Health Care Partners of Central Ohio. Please fill out the following information to help us understand your background and interests.

Board Application

Name

First Name

Last Name

Email

County of Residence

Phone

(###)

###

####

Current Occupation

Do you have previous experience serving on a non-profit Board?

Yes

No

If Yes, please describe your experience.

How did you hear about us?

Website

Social Media

Referral

Other-Please provide more information

Please provide any other information you feel would be useful

Board Member Application

Already know you want to become a BHP Board Member? Print the form below, fill it out, and send it to Kate St. James at katestjames@bhcpartners.org