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):

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    Agency/Organization:

    Agency/Organization Address:

    Current Position:

    Current Credentials/Licensure:

    Brief Work History:

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    Strengths/Qualities You May Bring To The Board:

    Additional Comments (Optional):