Trustee Application
Please complete this form to apply to be a member of the Board of Trustees.
Your Name:
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone Number:
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Please enter a valid phone number.
Format: (000) 000-0000.
Cell Phone Number:
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Please enter a valid phone number.
Format: (000) 000-0000.
Email:
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example@example.com
What is the reason for your interest in serving on the Board of Trustees?
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Have you ever participated in any Foundation activities? Which ones?
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Please list any community/volunteer activities in which you are currently involved.
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If you are currently employed, who is your employer and what is your job title?If you are not currently employed, what are your major interests?
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Are you able to attend regularly scheduled meetings? Morning? Evening?
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Has any Foundation Board member contacted you personally about possible Boardmembership? If so, please list name.
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Please check the Foundation Activities that interest you:
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Holly Ball
Golf Outing
Bedford Automile Race
Scholarship Committee
Teacher Grants Committee
Fund-Raising
Cultural Programs
Other
Please check the Board Administration activities that interest you:
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Membership
Public Relations
Fellowship
Internet/Web Page
Accounting
Student Programs
Alumni Relations
Other:
Is there anything else that you would like to share with the committee that will be considering your application?
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I understand that, if accepted for membership, it will be my duty to regularly attend Foundation board meetings and participate in Foundation events. I hereby give my permission for the membership committee to review my application and to make a recommendation for membership if accepted.
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I understand
Potential member’s signature:
Today's Date
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: