Apply to be on the Main Street Board
Thank you for choosing to submit your application!
Name
*
First Name
Last Name
Date of Birth
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Are you a part of an organization? Which one?
If You are a part of an organization, what is your title?
Education
Special Skills (select all that apply):
Fund-Raising
Personnel/Human Resources
Finances
Marketing/Public Relations
Technology
Government
Business Real Estate
Non-Profit Background
Other
Other Current Board Service:
Other Past Board Service
What piqued your interest in joining the Main Street board?
Other Pertinent Information:
Source of referral/information about the open seat?
Submit
Should be Empty: