BOARD OF DIRECTORS MEMBERSHIP APPLICATION

Your Name:
Your Email:
Today's Date:
Daytime Phone:
Evening Phone:
Your Address: (Number, Street, City, State, Zip)
References Business and Professional: (Name, Org/Company, Phone)
Place of Employment: (Address, Position)
Acknowledgement of Duties Yes, I can attend regular evening monthly Board meetings. Yes, I'll also volunteer as a member of a DRC committee. Yes, I am willing to make donations and participate in fundraising of DRC.
Please write a brief statement describing your skills and how they can be applied to support DRC's mission.

WE'LL CONTACT YOU AFTER THE DRC NOMINATING COMMITTE REVIEWS YOUR APPLICATION. THANK YOU VERY MUCH FOR YOUR TIME, INTEREST AND CONSIDERATION.