Parent-Child Center's Board of Director's Application
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Business Phone Number
-
Area Code
Phone Number
Profession
Education
Back
Next
Background Information
Have you ever been convicted of a criminal offense? If yes, please explain.
What skills or experiences could you contribute to our board?
Describe your community involvement.
Availability
Could you regularly attend board meetings on the 3rd Monday of each month at 5:30 pm in Lexington or via zoom?
Yes
No
Could you attend an orientation for new board members?
Yes
No
Your Views
Why do you want to be a board member?
Please write a brief statement of your understanding of the mission/goals of Parent-Child Center?
References (please list 3 names, addresses and phone numbers)
Signature
Submit
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