Nyleve's Haven, PBC - Board of Servants

Nyleve's Haven, PBC

Board of Servants
Date*

MonthDayYear
Today's Date
Name*

First NameLast Name
Residence*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Current Occupation*

StudentFull TimePart TimeOther
Employer
Your Title
Type of Business or Organization
Primary services and area/population served
Preferred method of contact*

Residence EmailResidence PhoneWork -EmailWork Phone
Please list boards and committees that you serve on, or have served on (business, civic, community, fraternal, political, professional, recreational, religious, social).
Skills, experience and interests (please check all that apply)*

Finance, accountingPersonnel, human resourcesAdministration, managementNonprofit experienceCommunity servicePolicy developmentProgram evaluationPublic relations, communicationEducation, instructionSpecial eventsGrant writingFund raisingOutreach, advocacySocial media influenceOther
Please tell us your hobbies and interests briefly.*
Where did you hear us?*
Privacy Statement: The personal information above is collected to evaluate the volunteer candidates during the evaluation process. The information may be shared with program and organization partners.

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