Clone of SAMPLE for BrownCo-NonProfit Board Certificate Program Registration

NonProfit Board Service Program Registration

Saturday, June 7, 2014
9:30 A.M.-1:00 P.M.
Brown County Public Library
$15 PER PERSON
Contact Information
Full Name

First NameLast Name
E-mail
Phone Number

Area CodePhone Number
PhoneEmail
Occupation
Title/Position
Board Service
None - I'm new to this! I have not served on a board before.Some - I have 1-3 years experience of board serviceExperienced - I have 4-9 years of board service experienceVeteran - I have over 10 years board service experience
YesNo
For which organization/s?
Board Member ExpectationsLegal ResponsibilitiesFinances & FundraisingManaging Board ObligationsRegulationsQuestions to Ask before saying yes to board serviceMaking Maximum Impact as a board member
Any other comments about what you would like to learn from this session.
A $15 registration fee is required of all attendees. Payment may be made before the session via mail or at the door on Saturday, June 7th. Cash or Check ONLY please.

Please make check out to: Brown County Humane Society, Inc.

Mail to: Brown County Humane Society, PO Box 746, Nashville, IN 47448

In Person: Brown County Public Library, Lower Level Meeting Room, 205 Locust Lane, Nashville, IN 47448
E-mail
Via mailAt the doorOther
Thank you for your registration!
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NonProfit Board Service Program Registration