JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Contact information
Lower Shore Black Professional Alliance - information sharing for local organizations and government to have available to have a diverse pool of people for potential upcoming positions.
Added bonus VIP invites to special events and premiere exposure to the many local resources in our community.
See www.lsbpa.org
* Indicates required question
Name
*
Your answer
Email
*
Your answer
Address (Street, City, State, Zip Code)
*
Your answer
County
*
Wicomico
Somerset
Worcester
Dorchester
Other:
Professional Title
*
Your answer
Phone number
Your answer
Interests (info to share with organizations)
*
Arts
Economic Development / Foundations
Education
Health
Mentoring
Government Commissions
Youth
Other:
Required
Skills (info to share with organizations)
Grant Writing
Public Relations - including social media
Fund raising
Strategic Planning / Governance
Technology
Other:
If “other” what is the skill set to share?
Your answer
LinkedIn profile?
*
yes
No
Other boards or organizations where you have key positions
Your answer
Comments (i.e. additional information on interests)
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report