PWB Board of Directors Application
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you serve, or have you served, on any HBRA committees? If so, please specify:
Do you serve, or have you served, on any PWB committees? If so, please specify:
Are you an active and participating member in both HBRA and PWB? If so, how would you describe your involvement in both?
Please list your Employment Information including Company Name, Job Title and briefly describe your business
Please list any boards and committees that you serve or have served on (business, civic, community, fraternal, political, recreational, religious, social)
Please tell us anything else you'd like to share.
Why do you want to be a part of the PWB Board?
Our board meets the first Friday of the month from 9:30-11am, and occasionally by conference call. You will be required to dedicate the time required for meetings. Please advise if you can meet these requirements.
Our board expects participation in events and activities planned by the PWB board. Please advise if you can meet this requirement.
Please submit your Bio.
Please submit your headshot
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