Board of Directors Candidate Application
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Contact Information
First name *
Last name *
Street Address *
City *
Zip Code *
State *
Phone Number *
Email Address *
Employer Information
Company Name
Job Title
Type of Organization
Primary service(s) and area/population served
Work Address
Street Address *
City *
Zip Code *
State *
Work email
Preferred method of contact
Clear selection
Skills, experience and interests
Please select all that apply
Committee Involvement
Please list boards and committees that you serve on, or have served on
(business, civic, community, fraternal, political, professional, recreational, religious, and social). Please include: Organization, Role/Title, and Dates of Service
Special Skills or Qualifications/ Education, Training, Certificates
Summarize special skills, qualifications and education
Board of Director Participation
Are you able to commit to 4-6 hours per/month for meetings and volunteer commitments?
Clear selection
How do you feel Second Wind Fund would benefit from your involvement on the Board of Directors?
Please list any groups, organizations or businesses that you could serve as a liaison to on behalf of Second Wind Fund.
Please tell us anything else you’d like to share.
If you have a LinkedIn profile, please provide. 
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a board member, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. *
First name *
Last name *
Our Policy
It is the policy of Second Wind Fund to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.

Thank you for completing this application form and for your interest in Second Wind Fund. We will be in touch shortly.
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