Apply for Board Membership


If you have questions about NCFADS Board of Directors membership, including interest in applying for future membership, contact Debbie Rogers, Executive Director. 

Your Full Name (Required):

Your Email (Required):

Agency/Organization:

Agency/Organization Address:

Current Position:

Current Credentials/Licensure:

Brief Work History:

Volunteer Experience:

Strengths/Qualities You May Bring To The Board:

Additional Comments (Optional):