FOMR Student Board Member Application

Friends Of Middle River Student Board Member Application

Application Deadline - October 1st 2022
Read the basic expectations and follow the instructions carefully before submitting your application. (Expectations and Instructions)
I. Personal Data:

Tell us about yourself
Full Name

First NameLast Name
Birthdate:

MonthDayYear
Mobile No. :

Area CodePhone Number
E-mail :
Where the confirmation will be send to
Home Address :

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Gender:
Which of the following are you most interested in:
Please indicate what is your major area of study
II. High School Information:
Public High School :
If enrolled in a private school please give us your schools name.
Home Schooled (not attending a private or public school)
High School activities, community activities, volunteer work, honors, offices held:
Grade Level:
Friends of Middle River (FOMR) Board Meetings are on the 4th Tuesday of every month. Would you be able to attend most meetings either in person or via Zoom?
What committees would you be interested in joining?
III. References:

Please list two references.
1st Reference Name

First NameLast Name
Relationship
Email Address:
Affiliation:
2nd Reference Name

First NameLast Name
Relationship
Email Address:
Affiliation:
IV. Previous Volunteer Experience
Have you had previous volunteer experience?
If yes, where:
Reasons for Volunteering:
Other reasons for volunteering not listed above:
V. Work History
Are you currently employed?
If yes, please tell us where and how many hours a week you work.
Previous work experience:
VI. Please list any skills, knowledge, interest, and/or qualifications which you feel are relevant:
0/500
Vll. Parent/Guardian Agreement and E-Signature:
Name

First NameLast Name
I permit my child to serve as a Student Board Member on the Friends of Middle River board of directors if they are so selected.
E-Signature:
Date

MonthDayYear
Date
VIIl. Student Applicant's E-Signature
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
E-Signature:
Date

MonthDayYear
Date
Should be Empty:

Friends Of Middle River Student Board Member Application

I. Personal Data:

II. High School Information:

III. References:

IV. Previous Volunteer Experience

V. Work History

VI. Please list any skills, knowledge, interest, and/or qualifications which you feel are relevant:

Vll. Parent/Guardian Agreement and E-Signature:

VIIl. Student Applicant's E-Signature