Board Member Interest Form/Application
Mission Statement

The mission of the Segue Institute for Learning is to foster a community where students take ownership of their education. Segue scholars receive a rigorous academic experience that prepares them to excel in the high school and eventual college setting of their choice. At Segue, we believe that all our students are AT PROMISE, versus being labeled At Risk. The Segue Institute for Learning is a safe and nurturing environment which promotes diversity, encourages individual growth and allows students to view themselves as citizens of change in their homes and community.

Applicant Information
Last Name: *
First Name: *
Middle Initial:
Date of Birth (MM/DD/YYYY) *
Street Address/Apartment #: *
City: *
State: *
Zip Code: *
Phone Number: *
Email Address: *
Are you now, or have you ever been a parent of a Segue scholar?
If yes, please write name of scholar:
What is your reason for wanting to serve on the Segue Board of Directors? Please explain. *
Tell us about yourself. What are some of your skills that you would bring to the board? Share any other board experience(s) that you may have. *
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