Becoming a CEGCYRA Board Member
Tell us about your interest in becoming a CEGCYRA Board Member!

**PLEASE NOTE THAT SUBMISSION OF THIS FORM DOES NOT GUARANTEE BOARD MEMBERSHIP.  

**FORM WILL REMAIN ON FILE FOR 1 YEAR

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Email *
Full Name (First / Last) *
Contact information
Phone Number *
Town Of Residence *
Athletic Experience
Select the sports you have actively participated in: *
Required
Select the sports you have coached: *
1 Season
2 Seasons
3 Seasons
4 or More Seasons
I Have Not Coached
Baseball
Basketball
Soccer
Softball
Volleyball
None
Other Information
Do you have children currently in District 140? *
If YES please provide age and sports they have participated in.
Baseball
Basketball
Soccer
Softball
Volleyball
Ages 4-6
Ages 6-8
Ages 8-10
Ages 10-12
Ages 12-14
Ages 14-16
Statement of Interest
Please let the Board know why you are interested in a possible position and your interests in dedicating time to CEGCYRA.
Please summarize why you are interested in a position on the CEGCYRA Board. *
A copy of your responses will be emailed to the address you provided.
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