UC DAVIS | UC BERKELY | CSU SACRAMENTO
WWW.BPSHI.COM | [email protected]
2012-2013
Board Member Application
Bhagat Puran Singh lived a life devoted to serving others. While he was homeless, he begged
for money not to nourish himself, but for those who were even less fortunate than he. Starting
with nothing, Bhagat Puran Singh cared for an abandoned child diagnosed with leprosy.
Eventually, he was able to build the largest free health care institution in Northern India, called
Pingalwara (Home for the Handicapped and Abandoned).
In honor of Bhagat Puran Singh’s devotion to humanity and selfless service, UC Davis and
Sacramento State students collaborated to start the Bhagat Puran Singh Health Initiative.
Where Bhagat Puran Singh dedicated his life to serve those in need, we hope to make a mark
on the world by striving to live as he did by using our knowledge, manpower, and resources.
Our mission:
1) To provide basic health care screening and general health/nutrition advice to
undeserved and neglected communities.
2) To fight heart disease and diabetes among the at-risk populations and promote general
health knowledge to prevent chronic disease.
3) To Promote Youth Advancement among underserved populations.
4) To Promote Social Justice among our members and in the community.
As a part of the program, each Board Member must attend all general meetings, which will be
scheduled on at various times decided by the Board themselves throughout Fall, Winter and
Spring Quarter. You will be expected to have a meeting every 2 to 3 weeks, but may have
more or less depending on the order of upcoming events. During meetings, members will learn
information necessary to organize, integrate and improve each clinic and social justice
projects.
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BPSHI | BHAGAT PURAN SINGH HEALTH INITIATIVE
2012-2013 Board Member Application
Board Member Expected Duties and Responsibilities
Before applying to be a BPSHI Board Member, you must understand that you are being
given an amazing opportunity to not only gain leadership experience in both the healthcare
and social justice fields, but that you are responsible for others’ experience as well. You are
giving other Board Members your respect by working with them to give other students the
opportunity and capacity to change lives. Thus, your service to humanity has been
exponentially increased.
What Are We Looking For?
We are currently recruiting Undergraduate Board Members for 3 Regions/Universities:
1. Southern California
2. UC Davis
3. Fresno
If you are interested in joining the leadership at UC Berkeley or CSU Sacramento please
email us separately at: [email protected].
This application is for UNDERGRADUATE students only - if you would like to be a part of
BPSHI as a postgraduate or professional, please contact [email protected] separately.
Thank you.
As a BPSHI Board Member, this is your mission statement:
To give future professionals (with emphasis in health care, but not limited to) experience
in serving the underserved as to instill the seed of giving-back to the less fortunate for the rest
of their careers. To give students (mostly in university) the opportunity to learn about and do
Seva in their own and other communities. To inspire and motivate students to pursue higher
career paths.
Things to Remember:
1. You are not alone. Each Chapter, and thus each Board Member, will have advisement
and counseling from members of the BPSHI Board of Directors and other Senior
Members and post-graduates. Each Board Member will also create subcommittees and
project managers so that they can work together in a team to achieve their goals.
2. Although this is a big commitment, it will most likely be one of the most rewarding and
self-gratifying experiences of your college life. Not only will this be an avenue for you to
express your passion for service, the human interaction you receive will last you a
lifetime.
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2012-2013 Board Member Application
Breakdown of Recommended Board Positions
In order to lead your chapter of BPSHI in both a professional and efficient manner, we have
recommended a leadership structure that divides responsibilities of the growing aims of BPSHI into
these 5-6 positions. We encourage you to review these positions and think about what your best fit
would be:
1. Personnel Manager
 Manage upcoming clinic dates, locations, and coordinate sufficient volunteers and supplies
 Communicate with Board Members on a Regular Basis
 Oversee all other aspects of BPSHI and promote overall group advancement
 Making goals at the beginning of each year/quarter for the entire club, and making sure that
they are executed to full potential
2. Social Justice Coordinator
 Work with groups such as Ensaaf, Jakara, SEVA: Selfless Service, Saanjh etc. to promote
community advancement and advocate equity for all communities with emphasis on
underserved/neglected communities domestically and internationally
 Coordinate the Farmer Suicide Program, Bone Marrow Registry, Feed/Clothe the Homeless,
etc.
 Organize events with other clubs for relevant Social Justice causes
 Improve the social justice awareness of all BPSHI members of the pertinent issues affecting our
communities today, for example: Health Care Reform
3. EMR/Public Health
 Initiate online patient medical records with Electronic Medical Record
 Will work closely with Public Health Graduate Student to direct BPSHI programs towards
increasing health care accessibility and cultural sensitivity to underserved communities
4. Health Educator Specialist
 Will work closely with volunteer Physicians, Public Health Graduate Students, and Medical
School students to gear Health Education for different communities
 Maintain interactive portfolio to educate youth and adult populations on various health risks
associated with various target communities and suggested lifestyle changes
5. Web Technician
 Keep Website up to date
 Will send out emails to the listserv of upcoming future events
 Manage Facebook, Twitter, etc.
6. Secretary
 Manage all Public Relations concerning your chapter
 Keep notes during conference calls and meetings
 Manage Supplies
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BPSHI | BHAGAT PURAN SINGH HEALTH INITIATIVE
2012-2013 Board Member Application
BPSHI Board Member Application 2012-2013
Application Instructions:
Written (Typed) Application is due on:
Email the application to:
Please Subject Your Email as:
Thursday, October 11, 2012
[email protected]
[First]_[Last]_BPSHI Board Application_[Region]
Please choose which region/university you will be operating in and spending the most time in:
Southern California
UC Davis
Fresno
Please choose your top three choices: (1=first choice, 2=second choice (mark if you are interested in the
second option)):
Social Justice Coordinator
EMR/Public Health
Please fill out the following information about yourself:
1. Name (First, Last):
2. Email Address:
3. Phone Number:
4. Birthday (mm/dd/yyyy):
5. Age:
6. School Attending:
7. Major/Minor:
8. Pre – (Underline/Highlight one):
Medical
Dental
Pharmacy
Optometry
Law
Public Health
Other
(NOTE: You don’t need to be a pre-health in order to help: there are plenty ways of getting involved
without ever having to pick up a sphygmomanometer)
9. Year in School:
10. Expected Graduation Date:
11. Please Highlight/Underline your level of Punjabi fluency:
None
Some
Moderate
Proficient
Fluent
12. List all other languages spoken:
I (type in name) promise to uphold the integrity of the Bhagat Puran Singh Health Initiative at their events by
acting in a professional manner and agree to maintain the confidentiality of all medical records in accordance to
HIPAA regulations. In addition, I give BPSHI the permission to use my photographs on their websites, brochures
and other documents.
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2012-2013 Board Member Application
QUESTIONS:
Please respond to each question below in a complete, concise, and honest manner.
1. Why do you want to be a part of the BPSHI Board?
2. Explicitly describe your other time commitments (Research, Volunteer work, Clubs, Leadership positions).
3. What are some of the things that you would like to see done as a leader of BPSHI this year? How would
you go about doing this?
4. What motivates you to help others?
5. Have you ever coordinated/organized an event(s)? If so, what was your role in the success of the
event(s)?
6. If you are currently or previously a BPSHI member, what is/was your role? What have you contributed to
the advancement of this organization?
REFERENCES:
Please provide 1-2 references that we may contact.
Name
Relationship
Phone Number
1.
2.
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