Junior Board Application
Name
*
First Name
Last Name
Date of Birth
*
/
Month
/
Day
Year
Date
Gender
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Phone
*
Please enter a valid phone number.
Work Phone
Please enter a valid phone number.
Email Address
*
example@example.com
Employer/Position
Undergraduate and/or Graduate Institution
Please describe your involvement in the community.
*
Please check any of the following skills or experience that you possess.
Accounting/Finance
Relationship Building/Outreach & Introductions
Human Resources
Academic Experience
Nonprofit Law Experience
Public Relations & Communications
Funds Development
Political & Government Outreach
Strategic/Board Development
Sales/Marketing
Other
Do you have any experience with STAIR?
Yes
No
If yes, please explain.
Signature
*
Today's Date
*
-
Month
-
Day
Year
Date
Submit
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