Board of Directors Application

The Canton Community Health Fund (CCHF), is a private foundation run by a volunteer Board of Directors who: oversee the Fund, distribute grants to non-profit organizations serving the Canton community, and award Scholarships to graduating Canton High School seniors and other individuals, pursuing careers in healthcare or public safety.

Are you interested in joining our Board? Please complete the following application. We look forward to meeting you!

Board of Directors Application

Applicant Name
Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Phone Number
Email
Occupation
Board(s), Committee(s) and/or Commission(s) you currently serve on:
Please indicate any special skills, interests, or additional information that you would like us to consider:
Signature
Date

Verification

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Contributing to the Health, Safety and Well-Being of the Canton Community.SM

Board of Directors Application

Board of Directors Application

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