ADRC Board Member Application
Please complete information requested below and select submit.
Name *
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Phone *
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Address *
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City *
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Zip Code *
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Do you have any previous experience serving on boards or committees? If so, please describe. *
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Please tell us why you are interested in serving on the Aging & Disability Resource Center Board. *
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We need board members who represent the customers that we serve. Are you qualified to represent any of the following? Please select all that apply. *
Required
Please explain as you feel necessary.
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