NYSA Board Member Info Profile and Board Interest Survey
Please complete this form if you are interested in learning more about or joining the NYSA Board. 
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Email *
First Name *
Last Name *
Street Address 
City
State
Zip Code *
Length of time living or working in this community *
Occupation *
Position *
Education (e.g. Bachelor's degree, Master's degree)
Contact number (xxx) xxx-xxxx *
Best time to contact (e.g. evenings, weekends) *
Preferred Email *
Do you have children in the NYSA Program?  *
If yes, please specify:
What other boards or community organizations are you actively involved with? *
What is your current or recent volunteer experience? *
Please list your NYSA or other soccer experience. *
What special skills or training would you bring to the NYSA Board? *
Please indicate the area of interest for committee work. *
Required
Describe your personal hobbies and interests. *
Please provide two references with whom you have worked in an employment capacity or as part of a group. Include name, phone, email, and relationship to you.  *
By printing my name below, I allow my name to stand for nomination by the Northshore Youth Soccer Association (NYSA) Board.  I am willing to commit my time and effort to NYSA to ensure we provide a safe environment for all kids to succeed.  *
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