Board of Directors Candidate Application
Questions marked with a * are required
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Contact Information
Preferred Name
Employer Name
Your title
Employer Information
Type of business or organization
Primary Service(s) and area/population served
Preferred method of contact
Please list boards and committees that you serve on, or have served on (business,
civic, community, fraternal, political, professional, recreational, religious, social).
Organization Role/Title Dates of Service
Skills, experience and interests (Please select all that apply)
Education/Training/Certificates
Have you received any awards or honors that you’d like to mention?
How do you feel Please Pass the Love would benefit from your involvement on the Board?
Please list any groups, organizations or businesses that you could serve as a liaison to on behalf
of Please Pass the Love.
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