Heritage Square Community Board Member Nomination Form
Nominate someone you think would make an excellent addition to Heritage Square's Community Board for the 2020-2022 term.
First and Last Name *
Address *
Cell Phone *
Email *
Employer *
Position/Title *
Education and skills that would add value to the Board *
Nonprofit Experience *
Why would you like to be on the Heritage Square Community Board? *
References (Name / Relationship to the nominee / Contact Information) *
As a Heritage Square Community Board Member Nominee, I agree to: (please check all) *
Submitted By *
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