2026 Board of Directors Application - Coast Guard Mutual Assistance

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Self-Nomination Form

Position You're Applying For(Required)

Retired Coast Guard Member (Senior Officer or Senior Enlisted - O5 & Above / E7 & Above)

Reserve Member (Officer or Enlisted – any paygrades eligible)

Coast Guard Auxiliary Member

At-Large Member (Open Category)

At-Large Member (Civilian/Spouse/Retiree)

Contact Information

Your Name(Required)

First Middle Last Suffix

Rank/Rate/Grade/Title(Required)

Year Started with the Coast Guard (enlisted, commissioned, hired)

Personal Email(Required)

Personal Phone(Required)

Work Email

Work Phone

Home Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Employment History/Experience

Start with the most current.

1. Title

1. Organization/Unit

1. Start Date

1. Current

2. Title

2. Organization/Unit

2. Start Date

2. End Date

3. Title

3. Organization/Unit

3. Start Date

3. End Date

4. Title

4. Organization/Unit

4. Start Date

4. End Date

5. Title

5. Organization/Unit

5. Start Date

5. End Date

Your Thoughts

Describe your understanding of Coast Guard Mutual Assistance’s mission.(Required)

What professional or personal experiences qualify you to serve on the CGMA Board of Directors?(Required)

Have you participated in fundraising initiatives or non-profit development efforts? Please describe your contributions and outcomes.(Required)

Why are you interested in serving on the CGMA Board of Directors?(Required)

Board members are expected to contribute time, talent, and resources. How will you support CGMA’s fundraising, strategic initiatives, or operational goals?(Required)

Please describe your experience in the following areas: non-profit governance, fundraising/donor relations, strategic planning, financial management, and community outreach.(Required)

Are you willing to support CGMA’s mission by actively assisting in soliciting donations from others?(Required)

What networks, partnerships, or affiliations could you bring to advance CGMA’s mission?(Required)

Do you have any additional information you'd like to share with the selection committee?