Board Member Application
Name _________________________________________ DOB: ____/_____/_____
(Please place a Ö in the box beside the address, phone, fax and email you would like us to use)
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Spouse: __________________________________________
Children/Ages: __________________________________________________________________
Affiliations
Education
High School: _____________________________________________________ Class of ________
Undergraduate: __________________________________________________ Class of ________
Graduate: ______________________________________________________ Class of ________
Other: _________________________________________________________ Year ___________
Business/Civic/Social Clubs (Please list any offices held or awards received)
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Religious Affiliations (Church/Synagogue/Mosque/Temple membership):_____________________
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Board Memberships (Current and Past. Please list years of involvement). ___________________
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Political Contacts:_____________________________________________________________
1) What nonprofit or volunteer activities have you been involved with?
__________________________________________________________________________
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2) How do you feel you can benefit Urban Life Training through your role as a board member?
3) What particular issue, opportunity or problem do you feel is crucial in helping Urban Life Training?
4) Do you agree that abstinence from sex before marriage is the healthiest choice for young people? Please explain.
4) What role do you feel the board of directors should play in the work of Urban Life Training?
5) What excites you about the work of Urban Life Training?
6) Nonprofit Organization References:
Name/Relationship Address/Phone Number
Signature of Applicant Date