Board of Directors Candidate Application
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Contact Information
First Name
Last Name
Address Line 1
Address Line 2
City
State
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Arizona
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California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
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Maryland
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New Hampshire
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Ohio
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Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
District of Columbia
Zipcode
Phone
Email Address
Preferred Name
Employer Name
Your title
Employer Information
Address Line 1
Address Line 2
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
District of Columbia
Zipcode
Phone
Email Address
Type of business or organization
Primary Service(s) and area/population served
Preferred method of contact
Work
Residence
Email
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)
Finance, Accounting
Personnel, human resources
Administration, management
Nonprofit experience
Community service
Policy development
Program evaluation
Public relations, communications
Education, instruction
Special events
Grant writing
Outreach, advocacy
Other
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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