Your Personal Data
Age
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Gender
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Ethnicity
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Race
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Have you ever served in the U.S. Armed Forces?
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Preferred Pronouns
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Employer
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Job Title
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Industry
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Your Why
Briefly describe why you would like to join our Board of Directors.
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Your Current Organizational Affiliations
Please list the names of the organization(s) you're currently affiliated with and your role(s).
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Your Skills
Please indicate which of your skills you would like to utilize on the Board. Check all that apply.
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Other skill(s) of yours that you would like to utilize?
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What would you like to get for yourself out of your participation on the Board, e.g., what types of experiences, skills to develop, interests to cultivate for you, etc.?
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Agreement
If you join the Board, you agree that you can provide at least 2 hours a month in attendance to Board and Committee meetings, and that you do not have any conflict of-interest in participating on the Board. Do you agree?
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If you are not selected as a member of the Board, or if you decide not to join, would you like to be a volunteer to assist our organization in various ways that match your skills and interests?
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