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ABC Organization, Inc..

Board Application Form

Complete this form and return to the Board Development Committee by (date)


Name _________________________________________ Phone __________

Address _____________________________________________________________

Relevant community experience and/or employment (attach a resume if relevant):




Why are you interested in serving as a Board Director of ABC Organization, Inc.?




Area(s) of expertise/contributions you feel you can make to ABC, Inc. as a Board Director:




Other current volunteer commitments:


For Board Committee Use

____ Nominee has had a personal meeting with the Board Development Committee Chair, Board Chair, Organization Executive Director, or other Board Director. Date ______

____ Nominee reviewed by the Board Development Committee. Date ______

____ Nominee attended a board meeting. Date ______

____ Nominee interviewed by the board. Date ______

Action taken by the board:  


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