Application | St. Paul's Center

Email address*

Full Name*

Occupation*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Business Name/Address*

Please include company name, street address, city, state, and zip code; If not applicable, write N/A

Business Telephone*

If not applicable, write N/A

Business Email

Special Skills/Areas of Expertise*

Please check all special skills or areas of expertise you would contribute to St. Paul's Center

What Other Special Skills/Areas of Expertise do you have?

Board Experience*

Please indicate any boards on which you currently serve or have previously served, including dates; If not applicable, write N/A

Other Organizational Experience*

Please indicate any other charitable or community activities in which you have been/or are presently involved; If not applicable, write N/A

Board meetings are held monthly on the first Wednesday of every month from 5:45pm to 7:30 pm at Hope Lutheran Church in Troy, NY. Committee meetings are usually held one evening each month and are scheduled based on committee member schedules. Can you regularly attend these meetings? *

Yes
No

What is it about the St. Paul’s Center and the population it serves that interests you in becoming a board member?*

Please briefly describe the strengths and abilities that you could bring to the Board and the Center. **

Please list the names, addresses and daytime phone numbers of three references who are not currently St. Paul’s Center Board Members: **

Comments

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