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.
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Please explain as you feel necessary.
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Submit
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