top of page

FCDN Board Member Application

Please complete the form below, and click SUBMIT.  A Board representative will contact you shortly.

Please fill out all fields.  Enter 0 if no experience.

Choices include:

Administrative Duties

Treasurer

External Communications

Law Enforcement Liaison

Education

​

​

Exhibitors

Gifts

CEUs/CLEs

Operations

Public Relations

Registration

Site/Venue

Speakers

Sponsors

Website

I certify that my answers are true and correct to the best of my knowledge. I understand that if this application leads to a Board position, any false or misleading information provided in this application may result in my immediate release from this organization.

I further certify that I have not been convicted of a crime involving moral turpitude.

I acknowledge that volunteering on the FCDN Board involves dedicating many hours throughout the year in addition to conferences, in-person and/or virtual, and that I am willing to commit to the necessary time to fully participate on the board.

I understand and agree my digital "signature" has the same value as would a "wet" signature.

If considered for Board designation, I understand that I must serve a one-year probationary period and that my membership will be voted on after said probationary period.

A FCDN representative will contact you within 30 days of receipt of the completed application form. Thank you.

bottom of page