Your current organizational affiliations (names of the organization and your role(s): *
Briefly describe why you would like to join our Board of Directors*
Other skill(s) you would like to utilize?*
What would you like to get out of your participation on the Board, e.g., what types of experiences, skills to develop, interests to cultivate for you, etc.? *
I understand that if I am selected to be on the Board, I agree that I can provide at least 4-6 hours a month to Board and Committee meetings, and that I do not have any conflict-of-interest in participating on the Board. *
If you are not selected as a member of the Board, or if you decide not to join, would you like to be a volunteer to assist our organization in various ways that match your skills and interests? *
