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Board Member Application

Please complete all requested information. Thank you for your interest!
Basic Information

Name: * 
Address: * 
Phone: * 
Email: * 
Job Title: * 
Employer: * 

Community & Charitable Activities
Organization & Position:
Organization & Position:
Organization & Position:
Organization & Position:


Previous Board Involvement
Organization & Position:
Organization & Position:
Organization & Position:
Organization & Position:


Leadership Information
Please Select the Skills You Can Contribute to the United Way Board: *



 
Areas of Interest: *





 
Which Campaign Committee Are You Interested In?: *






 

Board Attendance
Board Attendance Requirement as per By-laws: Article VIII: Section 5 – Duties & Authority, 5: Be in attendance of at least eight (8) of the twelve (12) board meetings a year. Board Attendance as per the Board Member Obligations: 2. C. The board may choose to interpret a director’s unexcused absence from four meetings as that director’s resignation from the board.

I have read and reviewed the Board Attendance Requirements


: *
 
Validation:
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