COCA Board of Directors Candidate Application Form

1. Position Selection

Running For the Position of:

2. Candidate Information

Name:

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Email

Association to COCA

Other: Please Explain

Camp/Organization Affiliation

Current Camp/Organization Position

3. Why is Being a COCA Board Member Important to You

Statement of Purpose: Please tell us what COCA means to you and why you want to join the COCA Board of Directors

Candidate Video Link

Please provide a personal video message introducing yourself and sharing your “why”: why you are involved with your camp and why you would like to join the COCA Board of Directors. This video gives Members the opportunity to put a face to a name and hear directly from you. Slideshows with recorded voiceovers are also welcome. Videos should be approximately 2-3 minutes in length and shared as a link from YouTube, Vimeo, or another video hosting platform

4. Relevant Skills and Experience

COCA is looking for individuals who can bring specific skills and talents to the Board.

Vice President Job Description

Treasurer Job Description

Membership Committee Chair Job Description

Research & Education Committee Chair Job Description

Social Media & Marketing Committee Chair Job Description

Please select any of your skills and talents that apply

Other: Please Explain

Finance, Accounting, CPA: Please elaborate and briefly explain how you would put these skills to use in the position you are interested in

Education Background: Please elaborate and briefly explain how you would put these skills to use in the position you are interested in

Legal: Please elaborate and briefly explain how you would put these skills to use in the position you are interested in

Business Development, Leadership: Please elaborate and briefly explain how you would put these skills to use in the position you are interested in

Marketing, Social Media: Please elaborate and briefly explain how you would put these skills to use in the position you are interested in

Fundraising, Grant Writing: Please elaborate and briefly explain how you would put these skills to use in the position you are interested in

Prior Board Experience (COCA or other org.): Please elaborate and briefly explain how you would put these skills to use in the position you are interested in

Prior Committee Experience (COCA or other org.): Please elaborate and briefly explain how you would put these skills to use in the position you are interested in

Pediatric Oncology Medical/Clinical/Psychosocial Experience: Please elaborate and briefly explain how you would put these skills to use in the position you are interested in

Additional accomplishments: Share notable successes in pediatric oncology camping

5. Availability and Commitment

Are you able to:

Attend the virtual election/annual meeting in December?
Participate in quarterly board calls (February, May, September, November)?
Attend COCAcon and the Scheduled Board Meetings Prior to Conference (typically Wed. and Thur.)?
Make a financial contribution to COCA? (COCA strives for 100% Board Giving)

I am prepared to attend the Virtual Election & Annual Meeting in December and be available for quarterly Board calls

Yes
Yes with some exceptions
No

If "Yes with some exceptions" or "No", please explain

6. Candidate Reference

Please provide a reference who has direct knowledge of your work within your organization.

Reference Name

Reference Relationship to Candidate

Reference Organization

position Share Upload

Reference Position within Organization

Phone

Email

7. Additional Documents

Upload any supporting documents you would like to include with your application

Drag & Drop Files, Choose Files to Upload You can upload up to 5 files.

Upload a headshot/photograph for use on election ballot

Drag & Drop Files, Choose Files to Upload

If you cannot upload a photo today, please send a photo to Callie@cocai.org no later than November 20, 2026. If you do not have a "headshot", we can crop any photograph- even from a group of people.

8. Consent

I understand the time and financial commitments of the COCA Board as outlined, and confirm my camp and/or employer are informed.

I agree

I understand that participation on the COCA Board of Directors requires adherence to a non-competition agreement.

I agree