Name:
Address:
E-mail:
Phone:
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List any non-profit Board experience including dates, type of organization, and role.
List any non-profit volunteer/work experiences including dates, type of organization, and role.
What is your experience working with youth, in particular, at-risk youth?
What do you feel are the most important issues facing queer youth in Southern Oregon?
What type of experience do you have with fund-raising?
Educational Background: Please list degrees, diplomas, experience.
Professional Experience: Please list any pertinent professional skills.
Why do you want to serve as a Board member for Lotus Rising Project?
What type of time commitment are you willing to make to this organization? Hours per month? Length of term?
How did you learn about Lotus Rising Project?
Reference 1:
Reference 1 Phone:
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Reference 1 Relation (personal or professional):

Reference 2:
Reference 2 Phone:
-
Reference 2 Relation (personal or professional):

Reference 3:
Reference 3 Phone:
-
Reference 3 Relation (personal or professional):

I am human: