EmailMe Form - Stepping Stones of Windsor Board Application

Name *

First Last

Do you live in the Weld RE-4 school district *

Yes

No

Address *

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

Phone *

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Email *

The best way to contact me is: *

I wish to serve on the Stepping Stones of Windsor (SSW) Board because: *

What knowledge, skills, and special interest will you bring to the SSW Board? *

Have you previously been a board member or served in some other capacity for a for-profit or a non-profit organization? *

Do you anticipate any conflicts of interest? *

What questions or concerns do you have about serving as a member of the SSW board? *

Additional Comments

Reference 1 *

First Last

Reference 1 Phone *

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Reference 1 Email *

Reference 1 Association: *

Reference 2

First Last

Reference 2 Phone

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Reference 2 Email

Reference 2 Association:

Reference 3

First Last

Reference 3 Phone

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Reference 3 Email

Reference 3 Association: