Advisory Committee Interest Form

Advisory Committee Interest Form

Thank you for your interest in joining the Advisory Committee for SelfSuffi Inc. Please complete the form below to help us understand your background, experience, and area of interest. We look forward to learning more about you.
Professional Information
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
LinkedIn Profile or Professional Website*
Professional Background
Current Title*
Current Employer*
Professional Biography *
Skills & Expertise
Please indicate your primary area(s) of interest (check all that apply):

Youth Serving IndividualsSingle ParentsDomestic Violence SurvivorsCollege StudentsAged-Out Foster YouthJustice Impacted IndividualsHousing InsecurityIncome Generation and Financial StabilityFood InsecurityMobility and TransportationHealth Care and DisabilityMental Health
Please describe your experience and expertise in the selected area(s) of interest:*
Provide an example of a project or initiative you have worked on related to your area(s) of interest and its impact:*
Motivations and Interest
Why are you interested in joining the Advisory Committee for SelfSuffi?*
How do you see your role on the advisory committee contributing to the mission and vision of SelfSuffi?*
Please upload your resume

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Acknowledgement
I acknowledge that, if selected, I will commit to fulfilling the duties and responsibilities required of an advisory committee member for SelfSuffi.*

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Professional Information