Board of Directors Application

Board of Directors Application
Thank you for your interest in serving on the Board of Directors of Mothers' Milk Bank Southeast. Our Board provides strategic leadership, financial oversight, and advocacy to advance our mission of improving infant health through equitable access to pasteurized donor human milk.
Name

First NameLast Name
Email
example@example.com
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Employer
Job Title
Why are you interested in serving on the Board of Mothers' Milk Bank Southeast?
Please indicate areas in which you have professional experience, expertise or interest.
Please attach your résumé or CV.

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Additional Information
Is there anything else you would like the Executive Committee to know?
Should be Empty: