Board Application

Select which position you are applying for?*
- CA Board of Directors
- LA Goverance Board
- SD Goverance Board
- SFBA Goverance Board
- SV/CC Goverance Board
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email*
Cell Phone*
Best time & method of contact
Place of Employment*
Company name. If self-employed, what is your company name? If not employed, enter n/a.
Type of Employment*
Example: doctor, attorney, teacher, nurse, software engineer, etc. If not employed, enter n/a.
Job Title*
If not employed, enter n/a.
List any boards and committees that you serve on, or have served on (business, civic, community, fraternal, political, professional, recreational, religious, and social).*
Organization Role/Title Dates of Service
List any groups, organizations or businesses that you could serve as a liaison on behalf of the local CAIR-CA.*
What strategic changes or continuance in direction do you think the local CAIR-CA should embrace to better serve the needs of our constituents and the general community?*
How do you feel the local CAIR-CA would benefit from your involvement on the committee?*
Identify your skills, experience and area of interest (select all that apply)*
- Administration Management
- Civil Rights, Law
- Finance, Accounting
- Fundraising
- Grant Writing
- Government Affairs
- Human resources
- Information Technology
- Media Relations/Journalism
- Nonprofit
- Policy Development
- Public Speaking
- Outreach, Advocacy
Share any additional skills, experiences, interests and background information
Optional: attach a resume
Max. file size: 10 MB.
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Organization	Role/Title	Dates of Service