Sunrise Retreats board member application Fillable Form

1

Name

2

Phone Number

3

Email address

example@example.com

4

Occupation and Current Employer

5

Other current organization affiliations (names of the organizations and your role(s))

6

Why are you interested in joining the Sunrise Retreats Board of Directors and how will this benefit you personally?

7

What makes you a uniquely qualified candidate and how would you like to contribute professionally to help Sunrise accomplish our mission?

9

If you are elected to join the Board, you agree to the roles and responsibilities, active participation in meetings, and contribution both of time and financial resources. You also confirm you do not have any conflicts of interest in participating on the Sunrise Retreats board.

10

Sign

11

Date

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If you are not selected as a member of the Board, or if you decide not to join, would you like to be a volunteer to assist our organization in various ways that match your skills and interests? Or potentially serve on an Advisory Board for one of our programs? If yes, in what ways or with which programs?

Yes

No

Perhaps

13

Please describe

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Nominee was referred by