YNPN San Diego Board Member Application
Fall 2013
Name *
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Primary Email *
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Secondary Email (optional)
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Primary Phone Number *
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Organization/ Company *
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Title *
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Add'l Organizations (optional)
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Add'l Organizations (optional)
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LinkedIn Profile
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Twitter Account
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Facebook Profile
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What skills, background and/or expertise do you have that you would be willing to share with YNPN San Diego? (Check all that apply.) *
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If you have served on, or currently serve on, other boards, please list them here.
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Current leadership roles (if any):
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If you currently serve on a YNPN San Diego committee, or have served in the past, please mark the committee(s) below.
If you do not currently serve on a comittee, which are you interested in serving?
Mark all that apply.
What do you view as the role(s) of the YNPN San Diego Advisory Board and/or committee(s)? *
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What interests you about serving on the YNPN San Diego Advisory Board? *
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Based on what you know about YNPN San Diego, what opportunities do you see for the organization? *
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What new programs or activities would you propose and/or what would you suggest changing as a board/committee member? *
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Other comments or questions:
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