2019-2020 CCDI Committee Application
Please review the committee roles and responsibility list before filling out this application. If you have n
Email address *
First & Last Name *
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Cell Phone Number *
Your answer
Place of Employment *
Your answer
Job Title *
Your answer
Which CCDI Committee are you interested in joining? (check all that apply)
Please briefly explain why you are interested in being a part of this committee?
Your answer
Are you willing to commit to being a part of this group for a minimum of 1 year, participate at least 4 group meetings and attend other CCDI events?
Are you interested in taking on a leadership role in your selected committee?
Questions, comments, or concerns?
Your answer
Thank you so much for expressing interest in joining a CCDI Committee! We will be in touch with you soon!
Please contact Rachel Boemer at RachelBoemer@ccdi.org for immediate questions
A copy of your responses will be emailed to the address you provided.
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