LVAEP Prospective Member Application - Revised Edition '23
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Today's Date *
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Name *
Home address *
Gender *
 Phone Numbers (Cell, Home, or Work) *
What is the best time of day to reach you? *
Email Address *
Preferred way to be contacted *
Required
Employer *
Job Title *
Highest Education Level Attained *
Work address *
Spoken Languages *
Any previous volunteer and/or board experiences? *
What skills/experience do you feel you have that would make you a good addition to our Board? *
How did you learn about LVAEP? *
Are you available to attend meetings occurring from 6:30 - 8:00 PM at the Bloomfield Public Library, 90 Broad St., Bloomfield, NJ  07002? Other Board Meetings (monthly on other 2 months) are virtual meetings via Google Meet. *
 Which committees would you be interested in joining? *
Required
Will you permit LVAEP to conduct a background check upon you being offered the position? *
Have you ever been convicted of any serious crime?
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If yes, please explain. *
Please submit a copy of your resume to Jordan Fried, President, Board of Trustees (jdfried1983@gmail.com)
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