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Jackson Chance Board Of Directors Application
Name
*
First Name
Last Name
Address
*
Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
Phone
*
Email
*
Occupation (Title & Employer)
*
Board Member or employee to recommend you:
*
Questionnaire
1. Why are you interested in serving as a Board Member?
*
2. If selected as a Board Member, what are you hoping to achieve?
*
3. What are your fundraising goals? What is your personal financial contribution commitment?
*
4. Are there additional contributions you hope to give the organization? (i.e. media relationships)
5. Please share any other information you feel is important.
Resume or Bio
Please upload your resume.