Board Member Application

Name*

First Last

Email*

Phone

Address*

Street Address Address Line 2 City State ZIP Code

Briefly describe why you would like to join the Board of Directors*

What organizations are you currently affiliated with and what is your role?

Which of your skills would you like to utilize on the Board? Check all that apply*

Other skills you would like to utilize

Please indicate which product sector(s) you represent in Brown County*

What would you like to get for yourself from serving on the Board? e.g. What types of experiences, skills to develop, interests to cultivate etc

Are you able to make a three-year commitment to the Board of Directors? Monthly meetings and sub-committee meetings*

Best available time for interview on Nov 11th.

The Board Development Committee has set November 11th as the interview date. Please choose 3 best available time slots for your interview.

Phone

This field is for validation purposes and should be left unchanged.