Board Application Form

Full Legal Name*
First Middle Last
Physical Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Same as Mailing Address?*
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
On Which Committee Would You Like to Serve?*
Please Explain Why You Wish to Join This Committee*
Briefly explain what you believe are the three most important issues facing our community at this time and how you believe serving on the selected board/committee can play a role in addressing each issue:*
List any abilities, skills, specialized training or interest you have which are applicable to this board/committee:*
Have you ever attended a regularly scheduled meeting of the selected board/committee?*
How much time are you able to devote to fulfill this obligation?*
Attachments
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