Orrville Area Girls & Boys Club

Online Board Application

First & Last Name:

Employer:

Email:

Address:

Phone:

Office Phone:

Nominated By:

On Date:

What community or civic organizations do you participate in?

What has been your past level of support and interation with the Boys & Girls Club? Include volunteering, financial support, talent sharing, etc.

What is your level of commitment to serve and in what capacity? This could include Volunteer at the Club, Board of Director, Corporate Board Member, etc

What specific talent(s) or expertise needed by the Club do you wish to share (law, public relations, accounting, personnel, etc).

5.) Are you, your company, and family aware of the professional and personal obligations of serving?

Conflict of Interest: Have you served in the past, do you have children that participate, related or closely affiliated with any staff member?

Yes

Conflict of Interest: Do you conduct business with the Club?

Yes

Please list the areas you have interest in Volunteering.

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By checking, I confirm that the above is accurate to the best of my knowledge and agree to share my form responses.

Online Board Application

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