BOARD MEMBER APPLICATION
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Applicant Information
Preferred Communication
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your choice
Mail to home
Mail to business
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OCCUPATION (You many list more than one occupation, please list primary occupation first)
Other Biographical Information (Please list other pertinent information about yourself: honorary degrees, awards, history with Community Acton, etc.
AFFILIATIONS (Please list Civic, Fraternal, Professional, and voluntary agency activities. List any office held and provide dates)
Briefly describe why you are interested in being a member of the Board of Directors of Community Action of Greene County, Inc.. Please indicate what skills, experience, or training you would bring to this organization to assist in our mission and philosophy.
FOR OFFICE USE ONLY:
Date Received
Chairperson Review/Approval - Signature
Board Approval Date
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