Thank you for your interest in becoming a Director of the Grand Bend Area Community Health Centre (GBACHC) Board.

Before completing this form, please review the GBACHC website to gain an understanding of the organization’s vision, mission, core values, and model of health and wellbeing.

Applications accepted until March 20, 2020.

Board Director Application
Address *
Address
City
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Postal Code
Select the postal code(s) in which you live and/or work. *
Do you use the GBACHC primary care (clinical) services? *
Are you or have you been a client of any GBACHC service, program or community health group? *
Have you volunteered at the GBACHC? *
Select the your connection(s) to the Grand Bend Area community. *
Select your skill area(s). *
Select the area(s) in which you could assist with advocacy. *
Upload your resume. *
Maximum upload size: 134.22MB