SJCC Board Member Application Form

St. Johns Cultural Council Board Member Application
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Format: (000) 000-0000.
Birth Date

MonthDayYear
Email
example@example.com
Employer*
Employer Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer Phone*
Format: (000) 000-0000.
Employer Fax Number
optionalFormat: (000) 000-0000.
Employer AddressPersonal AddressOther (please specify)
Other Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Questionaire

Please help us understand your interests and background.
1. Tell us why you would like to serve on the SJCC Board.*
2. What concerns do you have relating to arts & culture in St. Johns County?*
3. What strengths will you bring to the SJCC?*
4. Do you or anyone in your immediate family work with an organization or produce an event that receives TDC or SJCC grants or funding?*
5. Do you serve on any other boards? If so, please list.*