Peer Network
Board of Directors
Online Application

If you would like to be considered for the Board of Directors of Peer Network please complete the application and submit it any time during the year, along with a copy of your resume.

You are required to have your own personal lived experience in mental health recovery.

First Name *

Middle initial

Last Name *

Street Address

Address Line 2

City

State *

Zip Code *

Cell Phone *

Home Phone

Email Address * 🛈

Employer? *

Occupation? *

What is your interest and motivation for serving as a Peer Network Board member? *

Please explain your knowledge of the issues affecting persons with mental health concerns.

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Describe your personal lived experience with mental health concerns. *

Describe your experience in community organizations, including service on boards or advisory committees. *

Describe your experience with and/or knowledge from working with specific underserved communities (e.g. Asian/Pacific Islander, African American, Native American; Hispanic and/or Spanish-speaking, blind, deaf/HH, homeless, veterans or any fore mentioned in rural communities). *

Describe your leadership or policy development experience. Are you a member of other mental health, disability, advocacy or civil rights organizations? If so, please identify those groups below. *

Describe your experience advocating for people with mental health concerns or any other group challenged for equity or equal rights. *

I live in the area (region) identified below: *

Peer Network values diversity. In order to assist in selecting diverse Board members, please identify the answers below that best describe you:

Age

Racial identity (You may check more than one):

The Texas Empowerment Initiative (TEI) was developed by Austin Area Mental Health Consumers (AAMHC) and Prosumers International under grant number 1H79SM080857-01 from the Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services (HHS). The views, policies, and opinions expressed are those of the authors and do not necessarily reflect those of SAMHSA or HHS.

Peer Network Board of Directors Online Application

Peer Network
Board of Directors
Online Application