Louisiana Hemophilia Foundation

LHF Board Interest Form


Thank you for demonstrating interest in being on LHF’s Board of Directors. Please complete the form below in order to be considered for the next election. Remember that you must be a member to be on the Board of Directors.

 

Name

Email

Daytime Phone

Mailing Address

City

State

ZIP

Affiliation with Bleeding Disorder:

List any organization/events that you are currently or in the past been active in or volunteered for:

List leadership qualities/experiences you possess that would benefit LHF:

Why are you interested in serving on the LHF Board?


Please check your first choice you would be willing to be a candidate for:


Please check your second choice you would be willing to be a candidate for:


Please check your third choice you would be willing to be a candidate for: