Small Town Project Board Member Application
Name:
First Name
Last Name
Preferred Pronouns:
He/him/his
She/her/hers
They/them/theirs
Other
Languages Spoken:
English
Arabic
Cantonese
Filipino
French
German
Italian
Korean
Mandarin
Portuguese
Russian
Spanish
Vietnamese
Other
Phone Number:
E-mail:
example@example.com
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Preferred Contact Method:
Call
Text
Email
In-person
Days Most Available:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Times Most Available:
Mornings
Afternoon
Evenings
Occupation (Current or Most Recent):
Employer (Current or Most Recent):
Which of your skills would you like to utilize on the Board? Check those that apply:
Board Development
Teaching
Financial Management
Strategic Planning
IT
Community Outreach
Fundraising
Law & Human Rights
Other
Please list any board service, volunteer work, special training, skills, professional membership, community activities, hobbies, special interests that may be useful to your board placement:
Briefly describe why you are interested in serving on the Small Town Project Board:
By entering your name as your signature below, you agree that you can provide at least two (2) hours a month in attendance to Board, Committee, or Volunteer meetings, and that you do not have any conflict-of-interest in participating on the Board.
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Submit
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