Advisory Board Application Form

Purpose:
The Advisory Council serves as a critical community champion of the Angels
Surviving Cancer, Inc. Nonprofit. Members of the Advisory Council share their gifts in
service to our mission by providing our organization with their professional expertise;
their diverse knowledge of constituent perspectives; their connections to local,
national or international resources, colleagues or peers; their philanthropic support or
other forms of needed assistance. The Advisory Council has no governing function
within the organization.

Annual Dues $250 helping with ASC fundraisers
Today's Date*

MonthDayYear
Date
Full Name:*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Mailing Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Relevant Experience and/or Employment. Please attach resume.
File Upload*

Cancelof
Are you currently employed?*

YesNo
If yes, current position/employer:*
Put N/A if not currently employed
Please select area(s) of expertise and/or contributions you feel you can make to further the mission of Angels Surviving Cancer, Inc.:*

FundraisingSpecial EventsMediaPolicy DevelopmentStrategic PlanningMarketingPublic Policy AdvocacyEvaluationITTechnology
Please list any prior experience serving as an Advisory Board member for any other non-profit organizations:*
What other volunteer commitments do you currently have?*
Please tell us why you are interested in serving as an Advisory Board member for Angels Surviving Cancer, Inc.?*
Please share any additional information you feel may be important for consideration of your application to serve as an Angels Surviving Cancer, Inc Advisory Board member.*
Thank you for taking the time to apply for an Advisory Board of Directors position with Angels Surviving Cancer, Inc. We appreciate your interest in our Non-profit organization. We will contact directly once your application is submitted and reviewed.

Please contact us directly if you have any questions or concerns at info@angelssurvivngcancer.org

Thank you again for your interest.
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