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First Name *
Last Name *
Street address in Passyunk Square *
(Residence, Owned Property, Owned Business)
Address of Primary Residence
(If different from previous question)
Email Address *
Phone number *
Number of years residing, owning property or owning a business in the neighborhood *
If you have lived, owned property, or owned a business (or some combination of the three) at different times, just estimate a total number of years.
What experience have you had with volunteering in the neighborhood? *
(Limit 500 characters)
Why do you want to be on the Board of Directors? *
(Limit 1250 characters)
What strengths and skills would you bring to your Board service? *
(Limit 1250 characters)
Check the boxes next to the areas you would be interested in spending extra time on if elected. *
(Check all that apply)
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