LeadUS Mentoring Program 2015-16

Committee Applicant Form
Personal Information
Which committee(s) are you interested in? Check all that apply.

Special ProjectsScholarships and AwardsPR and MembershipEducation and OutreachEvents PlanningPublicationsRules and Regulations
Name*

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Email*
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Address

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Format: (000) 000-0000.
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Demographic Information
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Current Institution or Work Information
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Experience
Please list your current and past committee experiences you may have had with the SBA or other relavant committees you have served on.
What are your current associations and/or club affiliations? (include titles if possible)
Please list your skills and expertise
What is your educational background?
Please describe in details some of your greatest strengths and weaknesses
What experiences, expertise, connections, or resources would you bring to the SBA?
Please detail your interest in joining this committee(s)
How much time would you have to dedicate to the SBA (a week, a month, etc…)?
The SBA Board is looking for exciting and engaged volunteers to work on these committees. Committee members are required to participate in a minimum of 12 monthly meetings that take place remotely. Committee members are expected to be timely and present at every meeting with a maximum of three absences from meetings. Between work within and outside of meetings, hours of commitment would probably vary between 3-5 hours per month. Committee members are expected to commit to the role for a minimum of one year. Will you be able to make this commitment to the SBA?

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Please upload a copy of your resume/CV.

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After your application has been reviewed you may be asked to interview in order for us to better get to know you. Please have a list of references available upon request.

Thank you for your interest.

I certify, by my signature, that the information contained within this application and all supporting documents (i.e., resume, recommendation letters, etc.) is true, accurate, and complete to the best of my knowledge. An electronic signature is accepted.
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Committee Applicant Form

Personal Information

Demographic Information

Current Institution or Work Information

Experience