Board Member Application

Before you begin, please confirm you've received the following documents:(Required)

Board member expectations (view)

Committee descriptions (view)

Conflict of Interest policy (view/complete)

Name(Required)

First Last

Home Phone

Mobile Phone

Home Email Address(Required)

Home Address(Required)

Street Address Address Line 2 City State ZIP Code

Current Employer

(if applicable)

How many years have you worked here?

Work Email Address

Business Phone

Business Mobile Phone

Address

Street Address Address Line 2 City State ZIP Code

How do you prefer we contact you about this application?(Required)

Use my home contact.

Use my work contact.

Either is okay.

Highlight up to three major civic commitments.

Why do you want to serve our mission?(Required)

Please upload a copy of your resume.

File types accepted: .doc, .docx, .pdf

Drop files here or

Max. file size: 128 MB, Max. files: 3.

I understand the Conflict of Interest disclosure form must also be submitted before my application can be considered.(Required)

Yes, I already completed it.

Yes, I will do this soon.

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