DCBA Board Member Application
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Business/Organization
*
Why do you want to join the board?
*
What skills do you bring to the board?
*
Where do you see the DCBA in 3–5 years, and how would you help support and shape that vision as a board member?
*
Other board experience (organization, role, years served):
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Have you previously served on the DCBA Board of Directors?
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Please Select
Yes
No
If yes, please list the years you served and any roles or committees you participated in.
If yes, please share the reason your previous term concluded:
Please Select
Term ended
Left mid-term
Service ended as a result of the attendance policy
What board position(s) are you interested in?
*
Board President
Board VP - Events
Board VP - Human Resources
Board Treasurer
Board Secretary
Board Member
Board Advisor (not a voting position)
Not sure
Photo of Applicant (used on website when members are asked to vote)
*
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I understand that I am required to attend board meetings monthly on the first Thursday of the month at 8 am to 9:30 am. I understand that if I miss 3 consecutive board meetings without requesting a leave of absence from the President, I will be removed automatically. If applying for the executive board (President, VP, Treasurer, Secretary), additional meetings are required. I also understand that this is a 4 year term.
*
Please Select
Yes
Submit
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