New Board Members Board of Directors - Application Form Thank you for your interest in a position on our Board of Directors at Cambridge Memorial Hospital Foundation. Our vision is an inspired community investing in healthcare. Please complete and submit this form to tell us a bit about yourself. During the selection and interview process, we will also require a police records check and short biography for our website. Name* First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PhoneEmail* Current OccupationPlace of EmploymentVolunteer ExperienceUse this space to tell us about your previous volunteer experience. Fundraising ExperienceUse this space to tell us about your previous fundraising experience. Other Skills and ExperiencePlease tell us about any additional skills or experience you feel would be beneficial to the organization, as well as what led you to apply for a position on our board. Tell us a little bit more about yourself by noting any additional information/experience that applies below. Cambridge Resident Residence outside of Cambridge Work in Cambridge Work outside of Cambridge Accounting Administration Consultant/Adviser Entrepreneur Executive Legal Medicine Politician/Public Offficial Retired Sales Advertising/Marketing Experience Consulting Experience Education Sector Experience Financial/Financial Services Experience Governance Experien e Human Resources Experience Insurance Experience Legal Experience Manufacturing Experience Medical Sector Experience Public Sector Experience Retail Experience Sales Experience Service Sector Experience Social Policy Experience Transportation Sector Experience Fundraising - Annual Programs Fundraising - Major Gifts (Corporate and/or Individuals Fundraising - Foundations and/or Grants Fundraising - Legacy/Planned Gifts Service Clubs Tell us a little bit more about yourself by noting any additional information/experience that applies below.Cambridge ResidentResidence outside of CambridgeWork in CambridgeWork outside of CambridgeAccountingAdministrationConsultant/AdviserEntrepreneurExecutiveLegalMedicinePolitician/Public OffficialRetiredSalesAdvertising/Marketing ExperienceConsulting ExperienceEducation Sector ExperienceFinancial/Financial Services ExperienceGovernance Experien eHuman Resources ExperienceInsurance ExperienceLegal ExperienceManufacturing ExperienceMedical Sector ExperiencePublic Sector ExperienceRetail ExperienceSales ExperienceService Sector ExperienceSocial Policy ExperienceTransportation Sector ExperienceFundraising - Annual ProgramsFundraising - Major Gifts (Corporate and/or IndividualsFundraising - Foundations and/or GrantsFundraising - Legacy/Planned GiftsService ClubsPlease upload a copy of your current resume*Accepted file types: doc, docx, pdf, txt, rtf.It is the policy of this organization to provide equal opportunities without regard to race, colour, religion, national origin, gender, sexual preference, age or disability.PhoneThis field is for validation purposes and should be left unchanged.
