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Board Member Application Form
THE BASICS
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First Name
Last Name
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
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GETTING TO KNOW YOU
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What is your interest in Green Empowerment and motivation for deciding to fill out this application? Please share what about our thematic focus, geographic scope, approach, personnel, history, and/or organizational culture, excited you enough to prompt you to apply to be on the board?
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Please check any of the skills and expertise you will bring to Green Empowerment.
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Please attach your most recent resume and / or professional bio.
FINAL POINTS
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While Green Empowerment Board, staff and partners speak many languages. All board meeting materials and discussions are in English.
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(If yes, please explain)

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Please identify at least two references we can speak with (name, contact info, relationship)