Board Interest Survey

Thank you for your interest in joining the Harbor Health Board of Directors!

To get us started, please complete the survey form below. Click “submit” when you are done.

Harbor Health Board of Directors Interest Form

Fields marked with an * are required

First Name *

Last Name *

Email *

Phone *

City *

Are you a Harbor Health patient or caregiver of a Harbor Health patient *

Do you serve on any boards or committees? If yes, please list them below.

Why are you interested in serving on Harbor Health's board of directors? *

When is the best time to call you to talk further? *