2018-2019 Board Member Application
What is your date of birth.
What is your current residential mailing address? No P.O. BOXES Allowed.
What Board Member position are you applying for?
Please provide your SSN #for Our 501c3application requirements
Please upload your current resume’
Please submit a picture of yourself, with no filters, that will be used for candidate self identity confirmation requirements.
You give our organization permission to keep files for use publicly or privately in regards to our organization if selected. You agree that image is copyright free.
Should be Empty: