Volunteer Board Application

Apply to volunteer.

Name of Board

First

Last

Address

(cont.)

City/Town

State/Province

ZIP/Postal Code

Home Phone

Cell Phone

Email Address

Place of Employment

Please describe work, volunteer, or life experiences that you have had that would prepare you for being a member of this group.

What skills and abilities do you have that would be helpful in doing the work of this board/committee/commission?

With what you know about this area, what do you see as the three most significant issues this board/committee/commission will need to address in the next 2 years?

Personally, with the current knowledge you have of this area, what two or three suggestions/ideas would you like to see discussed?

What one or two contributions do you think you would make, in the short term (first few months) and in the long term (after a year)?

Do you have any potential conflicts of interest serving on this board?

Would you be interested in serving on any other boards?