Board Member InterestPlease enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Help Us Stay In TouchPhone *Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePositionsPosition TypesSeated Board Member (Pres, VP, Sec, Treas)Board Committee ChairCommittee MemberWhat kind of position are you interested in? Seated members have yearly responsibilities including making sure the board is functioning properly. Chairs take responsibility for making sure their committee is meeting and reporting back to the entire board. Committee Members do not have leadership responsibilities but are looking to help where they can.Board CommitmentPlease select oneI'm In!I'm interested but not sure I can commit to all 5 requirementsBoard Member Commitments: 1.) Attendance at min 1 meeting a year – can be virtual 2.) Voting as requested – can be asynchronous 3.) Share materials with your network 4.) Participate in one event 5.) Make 1 donation of any size.Why do you want to join the board?We might use this when we put quotes on our website, grant applications or marketing materials.Biography InformationBio Photo Click or drag a file to this area to upload. Upload a photograph we can use on the website. Our current team photos are posed in front of a tree. Feel free to send headshots or other professional looking photos instead. We can always take a photo for you.Public Facing BioAdd a few sentences about who you are, why you are joining and any relevant experience notes. Placed on the website and in grants as required. We’ll edit and send you final copy to approve.DonationsWould you like to make a donation?YesCertain grants ask how many board members donate to the company. Any donation amount no matter how small helps us make sure we can answer 100% of the Board makes donations. If you participate in our events, you’ve already donated!!!Donation Amount$5$25$50$100Total$0.00What Else?CommentsAnything else you want us to know?Submit Share Share Post Pinterest Email