IMHCA Foundation Board Member Application Form

Hello, and welcome to the Iowa Mental Health Counselors Association Foundation Board application!

This board is being established to promote and grow the IMHCA Foundation. This foundation is a 501c(3) that represents the interests of and promotes educational opportunities to mental health professionals in the state of Iowa. The foundation is working toward community education, continuing education for mental health professionals, and scholarships for students pursuing degrees that will allow them to become licensed clinical mental health professionals.

Foundation Board Member Application

  • Please mark all areas that you believe are areas of expertise or skill that you have and can use as a board member for the foundation:
  • Please mark all areas where you believe you have connections that you can use as a board member for the foundation:
  • Please mark all areas that you believe are qualities that you have that you can use as a board member for the foundation:
  • Please mark all regional areas in Iowa where you have a significant influence:
  • Max. file size: 32 MB.
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