2. 
4. Date
   Date
6. First Name
7. Last Name
9. Address
11. City
12. State
13. Zip Code
15. Phone Number
16. Email Address
20. Employer
22. Your title
24. Address
26. City
27. State
28. Zip Code
30. Phone Number
31. Email Address
33. Type of business or organization
35. Primary service(s) and area/population served
39. Preferred method of contact

    1. home phone
    2. home email

    1. work phone
    2. work email
41. Please list boards and committees that you serve or have served (business, civic, community, fraternal, political, professional, recreational, religious, social.)
    Please include name of organization, role/title, and dates of service.
43. Education/training/certificates
45. Awards or honors that you would like to mention.
47. How do you feel The Friends would benefit from your involvement on the Board?
49. Skills, experience and interests (please check all that apply.)

    1. Finance, accounting
    2. Personnel, human resources
    3. Administration, management
    4. Nonprofit experience
    5. Community service

    1. Policy development
    2. Program evaluation
    3. Public relations, communications
    4. Education, instruction
    5. Special events

    1. Grant writing
    2. Fundraising
    3. Outreach, advocacy
    4. Visual arts
    5. Music
51. Other skills or experiences not listed above.
53. Please list any groups, organizations or businesses that you could serve as a liaison to on behalf of the Board.
55. Please tell us anything else you'd like to share.
57. Thank you for applying. We will be in touch very soon!
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59. 1. Receive an email copy of this form.
60. Email address

    This field is not part of the form submission.

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