PA Families, Inc. (PFI) has requested the following personal information about you in order to make decisions regarding your application to become a PFI Board member. It is important that we select board members who are experienced in raising a child or children with mental health or physical health challenges, or who have a personal interest in the child and adolescent systems. This information is confidential and will not be shared with anyone except current PFI Board of Directors. Thank you for your interest In PFI.
Please list one personal and one professional reference with their daytime contact information. (The Selection Committee may contact these people)
For demographic reasons we are collecting data on our application process. This section is not mandatory. It is for board data collection only.