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About Us
Partnerships & Resources
Events & Programs
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Achievements
Potential Board Member Application
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Indicates required field
Name
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First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Date
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Email
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Home Phone Number
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Cellphone Number
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Perferred Method of Contact
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Work
Residence
Cellphone
Email
Your title
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Type of business or organization
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Organization Representative or Educational Instition
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Work Phone Number
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Address
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Line 1
Line 2
City
State
Zip Code
Country
How do you feel LIFE, Inc. would benefit from your involvement with the organization?
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Please list any groups, organizations or businesses that you could serve as a liaison to on behalf of LIFE, Inc.
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Please tell us anything else you’d like to share about youself.
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Optional – Have you received any awards or honors that you’d like to mention?
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Skills, experience and interests (Please check all that apply)
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Finance, accounting
Personnel, human resources
Administration, management
Nonprofit experience
Community service
Policy development
Program evaluation
Public relations, communications
Education, instruction
Special events
Grant writing
Fundraising
Outreach, advocacy
Boards and Committees
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Please list boards and committees that you serve on, or have served on (business, civic, community, fraternal, political, professional, recreational, religious, social).
Education/Training/Certificates
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Thank you very much for applying
If possible, please forward a copy of your resume to denise.thomas@life-mdinc.org
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