Please fill out and submit. Leave this field blank Full Name Nickname or preferred name Mailing address Mobile Work number Employer / Business Ocupation / Title Email Main reason WHY you would like to join our Board if Directors Your Current organizational AFFILIATIONS Name of the organization and your role. Please put N/A if non. Wich of your skills would you like to utilize on the board? Check those that apply. Board Development Strategic Planning Personnel / Human Resources Education / Instruction Program Development Finance / Accounting Fundraising Grant Writing Communitty Networking Outreach / Advocacy Public Relations / Communications Marketing Sponsorships Volunteers Management Special Events Other skill(s) you would like to share? What do you expect from our Organization? (optional) if I join the board, I agree to provide the hours needed to attend all regular board meetings I understand If you are not selected as a Board Member, or if you decide not to join, would you like to serve on Board Committe or Volunteer to assist our organization? Yes No Not this year Signature I agree that my typed name below will be as valid as a handwritten signature. By signing, I agree to the Terms and Conditions and Privacy Policy. Start drawing Clear Done Start over Send