Application Form for Prospective Board Directors
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Birthdate:
-
Month
-
Day
Year
Date
Spouse's Name:
First Name
Last Name
Employment status: If retired, where are you retired from?
Are you willing and able to attend meetings?
*
Yes
No
Why are you interested in service on the KMB Board of Directors?
*
What talents and skills can bring to the KMB Board?
What Board activities can you contribute to?
*
Accounting/Financial
Event Planning
Fundraising
Grant Writing
Host a Meeting
Legal
Photography
Preparing Educational Material
Program Development
Public Speaking
Social Media/Web
Other
What other organizations are you a member of?
What Leadership positions have you held?
What projects have you been involved in?
What interests, hobbies or special skills do you have?
What awards or reccognitions have you received?
Please verify that you are human
*
Submit
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