Advisory Board Member Application

Thank you for your interest in serving as an Advisory Board Member of the Carceral Accountability Council (CAC). CAC is committed to advancing transparency, accountability, and systemic reform within carceral institutions. Board members play a critical role in guiding the Council’s mission, strategy, and ethical integrity.

Full Name

Preferred Pronouns (optional)

Address

Email Address

Previous Board Service: Please list any prior or current board, commission, or advisory council service if any. Organization name, Role/title, Dates of service, and Brief description of responsibilities

Please list your employment history for the past five years, starting with your most recent position. For each position, include: Employer/Organization Job title Dates of employment Brief description of responsibilities

Describe your volunteer, advocacy, or community involvement, particularly work related to justice, human rights, public accountability, or impacted communities. Please include: Organization or initiative Role Dates of involvement Description of activities and impact

Do you currently work for, contract with, or have a close personal or financial relationship with any law enforcement agency, correctional institution, prosecutorial office, or entity that may come under CAC review?

Yes No

If yes, please explain

Please disclose any other potential conflicts of interest, real or perceived, that could affect your service on the CAC.

Please describe the skills, lived experience, or professional expertise you would bring to the CAC Board. Examples include, but are not limited to: Policy analysis Legal or regulatory knowledge Community organizing Lived experience with the carceral system Data analysis or research Finance, governance, or organizational leadership Restorative justice or trauma-informed practices

In 500 words or less, please explain: Why are you interested in serving on the Carceral Accountability Council? How do you understand CAC’s role in addressing harm within carceral systems? What perspective or values would you bring to the Board?

Advisory Board members are expected to attend quarterly meetings, participate in CAC initiatives, and attend additional meetings as needed. Are you able to commit the required time and effort?

Yes No

Please note any anticipated limitations

I certify that the information provided in this application is true and complete to the best of my knowledge.

Date