HSM Back to Life
Application Center
Opportunity Board
Boots on the Ground
Governance
HSM Back to Life Board Member
Regional service area / meetings as scheduled
· Volunteer governance service; unpaid
Applicant information
First name *
Middle name
Last name *
Email *
Mobile phone *
County *
Choose county
Aiken
Allendale
Bamberg
Barnwell
Orangeburg
Other
Street address *
City *
State *
ZIP *
Experience and availability
Current role / occupation
Employer / organization
Education, training, certifications, ministry, volunteer, or community experience
Relevant experience and why you are interested *
Availability *
Volunteer interests / community connections
Resume (optional; PDF, DOC, DOCX, RTF, TXT)
References
Reference 1 name
Relationship
Email
Phone
Reference 2 name
Relationship
Email
Phone
Certification and signature
I certify that the information I provided is accurate and I understand that submission does not guarantee placement or employment.
Type your full name as your signature *
Submit application
