EmailMe Form - 2020 -2021 Board Member Application Part 1

Name *

First Last

Email *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Home Phone *

### - ### - ####

Cell Phone *

### - ### - ####

Office Phone *

### - ### - ####

What special skills or abilities do you hope to share with W4C3? *

What previous volunteer and/or non-profit experience do you have? *

Please indicate any specific skills you have (check all that apply) *

Employer *

Length of Time with Current Employer *

Briefly describe the work you do for your current employer:

What is your professional specialty: *

What is your LinkedIn profile link/URL?

Please record and upload a 2-3 minute video about why you want to serve as a board member for Women For Change Coaching Community (you may enter a YouTube or Vimeo link instead of uploading the file) or email the file directly to pa@women4changecc.org

YouTube or Vimeo link for video (in lieu of uploading the file)