APPLICATION FOR APPOINTMENT TO THE
COLORADO ASSOCIATION OF PSYCHOTHERAPISTS
BOARD OF DIRECTORS

Name:___________________________________________________________________

Address:_________________________________________________________________

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Telephone Number: Home: ________________________ Work: _____________________

Current Occupation:______________________________ Full Time:_____ Part Time:_____

Employer: ____________________________Address:_____________________________

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Describe why you would like to serve as a member of the CAP Board of Directors.

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Please describe any special interest that you would like to be associated or involved with on the CAP Board.

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Are there any ideas that you have that you would like to suggest if you are appointed to the Board?

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PLEASE ATTACH A RESUME OR ADDITIONAL INFORMATION ABOUT YOURSELF
IN SUPPORT OF YOUR APPLICATION.

PLEASE INCLUDE 3 REFERENCES (NO FAMILY OR RELATIVES) WITH YOUR APPLICATION.