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Board of Directors Application

Board of Directors Application

Thank you for your interest in joining our board! Please review the important information below before submitting an application. Upon receiving your application, we will contact you within 1-3 business days to follow up.

Important steps in the application process

1. A nominee for the Community Child Guidance Clinic (CCGC) Board of Directors must be recommended by a current Board member or by the CCGC Executive Director.

2. The candidate should:

  • Review the Board Member Position Description
  • Become familiar with CCGC and its services by visiting website
  • Read the “Responsibilities of Board Members”
  • Contact Jamie Bellenoit, PhD, LMFT, Chief Executive Officer, for a tour of the clinic at (860) 643-2101
  • Complete the online Application to the Board of Directors (below) and attach a resume that includes, at a minimum: education, employment history, and professional organization involvement

3. The Board of Directors will vote on the candidate’s application at a regularly scheduled Board meeting as soon as possible.

Application to the Board of Directors
First Name *
Last Name *
Address Line 1 *
City *
State/Province *
Postal Code *

Please answer the following questions

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