Health Plus Indiana Board of Directors Application Form
Candidate's Information
Thank you for your interest in serving on the HPI Board of Directors! We’d like to learn more about the experience and skills you can bring to the board. Please help us by answering the following questions.
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Employer
Occupation
Nominated by/ Connection to Health Plus Indiana
Volunteer Experience
Other related Professional and/or Educational Experience
Why do you want to serve on the HPI board?
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Health Plus Indiana Standing Committees
Thank you for your interest in serving on the HPI Board of Directors! To help us better understand the experience and skills you would bring to the board, please review the following committees and identify those that align with your interests.
Executive Committee
The Executive Committee shall consist of the offices of the Board of Directors (President, Vice President, Secretary and Treasurer). • Review and agree the business (action) plans and annual proposed budget. • Monitor the achievement of the strategic business plans and annual budget outcomes. • Ensure that all significant systems and procedures are in place for the organization to run effectively, efficiently, and meet all legal and contractual requirements. • Ensure that all significant risks are adequately considered and accounted for by the Health Plus Indiana management team.
Personnel Committee
• Monitor the performance of the Executive Program Director against agreed performance indicators. • Ensure that all significant systems and procedures are in place for the organization to run effectively, efficiently, and meet all legal and contractual requirements. • Assist with changes/modifications of HPI personnel policies/procedures when needed. • Assist Executive Program Director if/when disciplinary issues arise.
Governance Committee
• Review and maintain HPI bylaws, making any changes needed per Article VIII, section 2. • Help facilitate the process for prospective board members. • Nominates Board Officers
Development Committee
• Working with the HPI Executive Program Director to help ensure continued success of all events and marketing plans. • Represent Health Plus Indiana in the community in order to secure relationships to further fundraising/marketing/development efforts of HPI. • Identifying and implementing fundraising opportunities • Soliciting underwriting and pursuing corporate support • Researching grant resources
Finance Committee
• Ensure that all significant systems and procedures are in place for the organization to run effectively, efficiently, and meet all legal and contractual requirements. • Ensure that organization has the appropriate governance structures in place, including standards of ethical behavior and promoting of corporate and social responsibility. • Work with HPI Accountant to monitor the financial stability of the organization.
Please select your FIRST-CHOICE committee from the list provided above.
Please Select
Executive Committee
Personnel Committee
Governance Committee
Development Committee
Finance Committee
Please select your SECOND-CHOICE committee from the list provided above.
Please Select
Executive Committee
Personnel Committee
Governance Committee
Development Committee
Finance Committee
Please select your THIRD-CHOICE committee from the list provided above.
Please Select
Executive Committee
Personnel Committee
Governance Committee
Development Committee
Finance Committee
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Please list any other skills/interest/experience or general information that you would like to share with the HPI Board
You may also attach your resume for further consideration.
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