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OUR 23RD ANNIVERSARY
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Programs
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Mujeres Adelante
Men's Academy
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Dating Violence
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OUR 23RD ANNIVERSARY
Contacts
Staff
Board of Directors
Feedback
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BOARD OF DIRECTORS APPLICATION
Name
*
Mrs
Mr
Ms
Baby
Master
Prof
Dr
Gen
Rep
Sen
St
Home Address
*
Phone
*
Employeer
*
Title
*
Business Address
*
Business Phone
Business Fax
Email
*
Pronoun:
She
He
His
Hers
ETHNICITY:
Hispanic or
Latino
AGE GROUP:
*
18 - 29
30 - 39
40 - 49
50 - 59
60+
RACE:
*
White None-Hispanic
Asian/Pacific Islander
American Indian/Alaskan
Black or African American
LANGUAGE: Do you speak more than one language?
*
Yes
No
If Yes; please indicate language(s):
EDUCATION SCHOOL(S) OR COLLEGE(S):
Please include: Institution Name and Location, Major/Degree, Dates:
*
EMPLOYMENT (most recent first):
Please include: Organization, Location, Position, Dates.
*
SPECIAL LICENSE(S):
Please include: Type of license,Expiration date, State license was issued.
VOLUNTEER EXPERIENCE (most recent first):
Please include: Organization, Location, Position, Dates.
CLUB/ORGANIZATION AFFILIATIONS:
Please include: Club/Organization, Location, Position, Dates.
AREAS OF EXPERTISE, SKILL, EXPERIENCE OR INTEREST:
which you have interest:
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Economic Sustainability
Event Planning
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Previous experience (select all that apply):
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Accounting
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Benefits
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