EmailMe Form - Board of Advisors Application

Name *
Prefix First Last Suffix
Email *

Confirm
Phone
Country Code + Area Code + Number
Birthdate *
MM / DD / YYYY
Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Do you have a matric/high school diploma? *
Yes
No
Please note: not having a matric/high school diploma does NOT exclude you from serving on the Advisory Board
What does "Inkululeko" (Freedom) mean to you? *
Why do you think you'd be a good advisory board member for Inkululeko? *
What skill sets do you have that you would be willing to share with the organization and/or the students we serve? *
Is there anything else you'd like to share with the organization regarding your qualifications for serving as an advisory board member? If so, please detail below.