Board Member Application
Board members are crucial to the planning and operation of services for Just Dream Inc. Board member applications are reviewed by the committee and applicants are interviewed extensively. If you are interested complete the application below.
Personal Information
Date Completed
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Month
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Day
Year
Date
Name
*
Last Name
First Name
Formal Title (e.g., Dr/Mr/Miss/Mrs/Mx)
Pronouns
Preferred Email for Board Correspondence
Personal Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
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Alternate Phone Number
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Demographic Information
This section is OPTIONAL. Please keep in mind that many funders request information regarding our Board Members' personal information to assess our Board diversity and the representation of communities served.
Date of Birth (Month/Day/Year)
Gender Identity
Ethnicity
Race
Sexual Orientation
Work and Education Information
Title/Profession
Company/Organization
Email (if different)
Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Work Phone
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Extension
Administrative Assistant Contact Information. (if applicable)
Bragging Links: Please insert links to your Linked In or any resources you want to share that highlight your work
Upload Bio (or insert LinkedIn link to your bio above)
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of
Headshot (Upload Here)
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of
Highest level of education
Middle School/some high school
Completed high school or GED
Some college
Associate's level
Bachelor's level completed
Graduate level completed
Other
Current Students
Name of school (for current students)
Grade level
Expected graduation date
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Thank you for your application!
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