Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone *How long have you been a member of the CCA? *Colorado Chiropractic License NumberPer our bylaws you must live or work in the district you are applying for. Please list the district you are applying for and if that is where your home or office is located. If applying for Treasurer or Vice-President, you must have served on the board for at least one year in the past. Please list the year(s) you served on the Board of DirectorsWhat is your understanding of the CCA's mission, vision, and values? * Explain how your skills and experiences align with the CCA's goals and how you think you will contribute *What do you know about our organization’s history and current challenges? *What is your vision for the future of our organization? *Do you have any experience with non-profit governance and oversight? *Which of your skills would the board and the organization appreciate most about you? Check all those that apply: *Board DevelopmentStrategic PlanningProgram Development Membership DevelopmentFinancial Management FundraisingCommunicationsMarketing Legislative AdvocacyCommunity CollaborationsHealth Insurance Knowledge (billing, coding, contracts, etc)Event PlanningAny additional skills that you would like to highlight?How do you stay informed about industry trends and challenges? *How would you leverage your network to benefit our organization? *Describe your experience with financial management and oversight. *NameSubmit