Residence

Employer

Type of Business or Organization

Preferred method of contact

WorkResidence

Please list boards and committees that you serve on, or have served

Education/Training/Certificates

Optional – Have you received any awards or honors that you’d like to mention?

How do you feel the Justin Slade Youth Foundation would benefit from your involvement on the Board?

Skills experience and interests Please circle all that apply

OtherFinance, accountingPersonnel, human resourcesAdministration, managementNonprofit experienceCommunity servicePolicy developmentProgram evaluationPublic relations, communicationsEducation, instructionSpecial eventsGrant writingFundraisingOutreach, advocacy

Please list any groups, organizations, or businesses that you could serve as a liaison to on behalf of the Justin Slade Youth Foundation.

Please tell us anything else you’d like to share.