The Landerholmstead Director Application
Thank you for your interest in a Board of Directors position with The Landerholmstead!

Please fill out as much of the information below as possible. By providing your contact information you give The Landerholmstead permission to contact you via these mediums.

The Landerholmstead will not practice or permit discrimination on the basis of sex, gender, sexual orientation, age, race, color, national residence, religion, physical handicap or disability, or any other basis prohibited by law. Additionally, the Landerholmstead will not practice or permit any discrimination based on citizenship/residency status, socioeconomic status, or criminal record.
Email address *
Full Name *
Age *
Legal Name (if different)
Phone Number *
Email Address *
What is your preferred contact method? *
Street Address *
Supplemental Address
City/Town *
State *
Zip *
(However you self identify) Gender *
Race *
Are you a legal U.S Citizen? *
Are you willing to travel for Board duties to other parts of the country or world? *
How did you hear about us? *
Current Employer
Your Title
Type of Business
Primary Duties
Contact Name & Number
May we contact this employer?
Clear selection
Education/Training/Certificates *
Please list all Boards or Committees that you currently serve on or have served on (Organization, Role, Dates) *
Which position(s) are you interested in? (Please check all that apply) *
Required
How do you feel The Landerholmstead could benefit from your expertise? *
Skills, Experience, Interest (Please check all that apply) *
Required
Please list any groups, organizations, or businesses that you could serve as a liaison to on behalf of The Landerholmstead *
Is there anything else you'd like to share with us?
Thank you for applying!
You will be contacted via email regarding your application. If you would like to send us any supplementary information, please email it to landerholmstead@gmail.com.
A copy of your responses will be emailed to the address you provided.
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