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Board Member Application Form

Click here for the print-friendly form.

Name
Address
City
State
Zip
Home Phone
Home Fax
Email
	Employment
Job Description/Title
Employer
Employer Phone
Employer Fax
Employer Email
Type of agency you would be interested in serving as a board member:
Health	Recreation	Elderly Services	Civic	Education
Faith Based	Substance Abuse	Women's Issues	Mental Health	Cultural
Youth	Environment	Volunteerism	Other
Your Talents:		Your Interests:
Please check all that are appropriate: Your background:
Corporate	Education	Homemaker	Student	Retiree
Management	Trades	Union	Media	Accounting
Your skills:
Marketing	Sales	Planning	Financial	Public Speaking
List of organizations to which you currently belong:

Please email your current resume and current biography after you complete this form. This information enables us to make the most effective match for you.

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58 Division Street | Danbury, Connecticut 06810
phone: (203) 797-1154 | fax: (203) 797-1194
volunteers@volunteerdanbury.org