Board of Directors Application

Board of Directors Application

Term of Office: 2019-2020
APPLICATION DEADLINE:

Midnight, Arizona Time, May 28, 2019

MUST BE A USTA MEMBER

Please select the position(s) you wish to apply for.
Check all that apply:*

PresidentVice President2nd Vice PresidentTreasurerSecretaryDirector of Adult CommitteesDirector of Junior CommitteesDirector of Community Tennis CommitteesDirector of Fundraising/Marketing CommitteesMember At Large
Areas of interest (juniors, adults, fundraising, etc):*
Name:*

First NameMiddle NameLast Name
USTA Number*
Expiration Date:*

MonthDayYear
Date
E-mail Address:*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred Phone Contact Number is:
Cell Number

Area CodePhone Number
Work Number

Area CodePhone Number
Home Number

Area CodePhone Number
Brief Occupational History*
Please list any "other activities" in which you are involved. Examples are other boards, volunteer experiences, tennis outside of USTA, interests, etc.*
Why are you an ideal candidate for the USTA Phoenix Board?*
If you are not chosen for the USTA Phoenix Board of Directors, are you interested in serving on a committee?*

YESNO
SIGNED:*
Date*

MonthDayYear
Date
Should be Empty: