Board Development Application Form - Impact Alamance

Conference Center

Board Development Application

Name of Organization*
Executive Director Name*
Email*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Are you a former or current member of The Leadership Institute?*
- Current Member
- Former Member
7. Why does your organization’s board desire board development training?*
8. How do you think your board and organization will benefit from this training?*
Will you be willing to complete a survey after your board training to help Impact Alamance assess the success of this program?*
9. Please attach a letter from your BOARD CHAIR that expresses the commitment from the board to complete the board self-assessment, the 4-hour training, and implementation of the board development plan.*
Max. file size: 50 MB.

© 2023 IMPACT ALAMANCE

133 E Davis St, Burlington, NC 27215

(336) 221-0011

ImpactAlamance@conehealth.com

Impact Alamance is a foundation formed from the merger between Alamance Regional Medical Center and Cone Health.

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