Board Member Application

*Required
  • Thank you for your interest in applying to become a member of the volunteer Board of Directors for Peninsula Community Health Services. The Nominating Committee of the Board will review your application at their next monthly meeting and might contact you for an interview. If there is not a position yet available on the Board, you might be invited to serve on one of the board committees.
  • Qualifications

    Members of the Board of Directors serve the organization either as someone who uses our services (a patient) or as someone who is a community representative (non-user). As a federally qualified health center (FQHC), our health center board of directors is required to have at least 51% patient representation. Someone who is the parent of a PCHS patient or who is financially responsible for someone who uses our services may qualify for the position providing patient representation.

    No Board member may be an employee of PCHS or an immediate relative of an employee, including a spouse, parent, child, sibling, or any person related to those persons by marriage.

  • If you qualify as the parent or the financially responsible party for a PCHS patient and are elected to the Board, we will need you to provide the name of the patient for our membership records.
  • PCHS’ governance policy defines the healthcare industry as “organizations whose primary purpose is the routine delivery of direct patient healthcare services.” FQHCs cannot have more than half of their non-patient board members receive income that exceeds 10% of their annual income from the healthcare industry.
  • Within the last 10 years, were you convicted, plead guilty or no contest, or consent to a pretrial diversion to a felony?
  • Board Meetings

    Regular Board meetings are currently held monthly on the third Wednesday of each month at 8:15 a.m. Meeting attendance is necessary for the Board to function cohesively and to be effectively informed. Although in-person participation is preferable, arrangements are made for telephone participation.
  • Mission Statement: The mission of Peninsula Community Health Services is to provide accessible, affordable, quality health and wellness services for our communities.
  • I certify the information given in this application is true and complete to the best of my knowledge