Board of Directors Application
We are continuously looking for applications for the Board of Directors. Membership seats are filled on an as-needed basis. Applications will be held for a maximum of 3 years.
Full Name
*
First Name
Middle Initial
Last Name
Maiden Name (if applicable)
Year(s) of Graduation
Please include any additional education and/or degrees earned from other institutions
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone Number
-
Area Code
Phone Number
Mobile Phone Number
-
Area Code
Phone Number
Current Professional Title
Preferred Email Address
example@example.com
Business Information
Company Name
Street Address
City
State / Province
Postal / Zip Code
Business Phone
-
Area Code
Phone Number
Business Email
example@example.com
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Please indicate professional awards or achievements you have received including year.
If married, please indicate your spouse's name and Clarion graduation year (if applicable).
Would you be able to attend four (4) meetings each year? Note: participation virtually is permitted.
Yes
No
Are you willing and able to pay for your own transportation and lodging expenses?
Yes
No
Have you been, or are you currently involved in other volunteer boards? If so, please specify what type of board and whether or not you have held a leadership position.
If you are active in your community, please indicate your primary areas of interest and your level of participation.
Additional Comments:
You have the option of providing supporting documents to your application (e.g. your resume, a personal statement of interest, press releases, etc.)
Browse Files
You may upload more than one file.
Cancel
of
Signature
Date
*
mm/dd/yyyy
Submit your application
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