Prospective Affiliate Committee Member Information

Prospective Affiliate Committee Member Information
Name:*

First NameLast Name
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number:*
Please enter a valid phone number.Format: (000) 000-0000.
Email:*
example@example.com
18-3435-5051-65Over 65
WhiteBlack or African AmericanHispanic, Latino, or Spanish originAmerican Indian or Alaska NativeAsianNative Hawaiian or Pacific IslanderOther
Affiliate Committee:*
Select the Affiliate Committee you are interested in serving on
Development (creating and developing relationships with donors)Finance (e.g. balancing a budget)Fundraising (raising money)Grant WritingLeadership (e.g. have held a leadership role in the community, such as Rotary)Marketing/Public Relations (e.g. advertising, social media)Nonprofit (e.g. experience working or volunteering at a nonprofit)Organizational (e.g. lead committee discussions, meeting notetaking)Philanthropy (e.g. personal or professional experience with philanthropy)Public SpeakingStrategic PlanningOther
MorningLunch HourAfternoonEvening
Profession (current or past):*
Community Involvement/Volunteer History:*
What is your vision for your community by working with the Community Foundation:*
Should be Empty: