Board of Directors Candidate Form

Name *

First Name

Last Name

Phone *

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Personal Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Company Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Skills, experience and interests (Please indicate all that apply) *

Fundraising

Finance/Accounting

Personnel, Human Resources

Public Relations, Communications

Administration, Management

Nonprofit Experience

Community Service

Special Events

Policy Development

Program Evaluation

Grant Writing

Outreach, Advocacy

Education, Curriculum Development