Your Name *

First Name

Last Name

Are you a current member of CGHSFOA? *

Yes

No

Which board position(s) would you be interested in? *

Select all that apply.

Vice President (Three Year Commitment)

Secretary (Two Year Commitment)

Treasurer (Two Year Commitment)

Ten Large (Two Year Commitment)

Balance of State (Two Year Commitment)

State (Two Year Commitment)