Application for Health Services Board of Directors

Please complete all sections.

This application will be emailed directly to the Executive Director. All information will be kept confidential.

If you prefer, you can click here for a printable form. Complete the form and mail it, email it, or fax it. The HSNT Nominations Committee will contact you for an interview.

In addition to completing the application, please mail, fax, or email a current resumé to:

  • Ron Aldridge
  • Executive Director
  • AIDS Services of North Texas
  • 4210 Mesa Drive
  • Denton, Texas 76207
  • Fax 940-566-8059
  • raldridge@healthntx.org

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I. General Information

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  • Contact Information

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II. Professional & Demographic Information

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    Professional Information

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  • Demographic Information

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III. Community Service & Qualifications

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III. Community Service & Qualifications Continued

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Before you finish, remember that in addition to completing the application, you should mail, fax, or email a current resumé to:

  • Ron Aldridge
  • Executive Director
  • AIDS Services of North Texas
  • 4210 Mesa Drive
  • Denton, Texas 76207
  • Fax 940-566-8059
  • raldridge@healthntx.org

I certify that the information included in this application is true and correct to the best of my knowledge. I agree to read, understand, and sign a Confidentiality Agreement and a Conflict of Interest Statement. I also certify that I have read the entire application package, understand the expectations and responsibilities of board membership, and promise to fulfill these to the best of my ability if I am elected to the ASNT Board of Directors.

Now that you have completed the Health Services Board of Directors Application, please correct any mistakes, and "submit".

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