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Board of Commissioners

Advisory Boards & Commissions

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General Information

Are You a Resident of Kalamazoo County?   

Have you had any Diversity, Equity & Inclusion Training?   

 

Please indicate experience and/or qualifications that would help make you an effective board member for which you have applied:

 

Environmental Health Advisory Council – Additional Questions

Certain categories need to be represented on the Environmental Health Advisory Council. Please check categories which apply to you:

Please Note: A Recipient may be anyone who receives services on a regular basis from the Environmental Health Program of the Human Services Department.

Please indicate experience and/or qualifications that would help make you an effective member of the Environmental Health Advisory Council.

Why do you desire to serve on the Environmental Health Advisory Council?

 

Integrated Services of Kalamazoo (CMH) – Additional Questions

 

State law prohibits an individual from being appointed to a community mental health board if he/she is a party to a contract with the community mental health services program or administers or benefits financially from such a contract; or (2) serves in a policy-making position with an agency under contract with the community mental health services program. Listed below is a list of agencies that contract with the Kalamazoo County Community Mental Health Authority Board. This list is not all-inclusive.

Do any of these restrictions apply to you?   

Catholic Family Services
Community Living Options
Family & Children Services
Community Healing Center
Hope Network
InterAct of Michigan
MRC Industries, Inc.
Senior Services
Ministry with Community
Bridgeways
Douglass Community Association
Gryphon Place
HomeLife
Housing Resources
Keystone
Residential Opportunities, Inc.
WMU/Center for Disability Services

Certain categories need to be represented on the Community Mental Health Authority Board. Please check the categories which you believe apply to you:

(defined as an individual who has received or is receiving services from the private sector equivalent to those offered by the Department or a community mental health services program)

(defined as an individual who is currently directly receiving mental health services from the Department of Community Mental Health, a community mental health services program, or a facility or from a provider that is under contract with the Department or a community mental health services program)

(defined as a parent, stepparent, spouse, sibling, child, or grandparent of a primary consumer, or and individual upon whom a primary consumer is dependent for at least 50% of his/her financial support)

If you checked category a, c, d, e or f above, please explain how you represent that category.

What personal or professional experiences have you had with the target populations served by the Community Mental Health Authority Board?

Why do you desire to serve on the Community Mental Health Authority Board?

There is a limit of six "public officials" who can serve on the Community Mental Health Authority Board. "Public officials" are those persons serving in an elected or appointed public office or employed more than 20 hours per week by an agency of federal, state, city or local government. This includes public schools/colleges/universities.

Are you a public official?   

 

Older Adult Services Advisory Council – Additional Questions

Certain categories need to be represented on the Older Adult Services Advisory Council. Please mark all categories which apply to you:

Please indicate experience and/or qualifications that would help make you an effective member of this council

 

Road Commission of Kalamazoo County – Additional Questions

Please list membership on other boards of directors/commissions

Please indicate below the background or experience you have which will be of value to you if you are appointed. Also indicate any reasons for desiring to serve on the County Road Commission:

 

Veterans Affairs Committee – Additional Questions

Have you served honorably on active duty in the United States Armed Forces?   

Do you have demonstrated knowledge, skills, and experience in the following areas: public service, business or finance?   

Are you a member of a congressionally chartered veterans' organization within Kalamazoo County?   

The Board of Commissioners desires minority representation on its appointed commissions. You may choose to identify yourself as a minority. Checking "yes" or "no" will neither qualify nor disqualify you for the appointment.

Do you wish to identify yourself as a member of a minority or underrepresented group?   

Please attach a copy of your DD214 to this application -- applications will not be considered without this document. If you cannot upload a copy of your DD214, please fax a copy to 269-384-8032 or mail the copy to:

Dina Sutton
Kalamazoo County Board of Commissioners
201 West Kalamazoo Avenue
Kalamazoo, Michigan 49007