Texans Can Academies

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Board Member Potential Interest Questionnaire

33 Questions

1) Name *

2) Address *

3) City, State, Zip *

4) Phone *

5) Email *

6) Birthplace: (City, State) *

7) Education (School, Year, Degree) *

8) Hobbies *

9) Other (optional)

Related information that you would like to share

10) How did you learn about the opportunity to become a Texans Can Academies Board Trustee? *

11) Age Range (optional)

12) Gender (optional)

Male

Female

13) Race/Ethnicity (optional)

Check all that apply.

14) Other race: (optional)

15) Why are you interested in joining the America CAN! Board of Trustees? *

16) Business or Profession *

17) Job Title *

18) Business Address *

19) Business Phone *

20) Business Email *

21) Preference to receive communication *

Home

Office

22) Special instructions about communicating with me (optional)

23) Professional or Business Background & Corporate or Foundation Affiliations *

24) Please describe how your business and work experiences can benefit America CAN! *

25) Civic & Professional Affiliations & Awards *

26) Nonprofit Service and Volunteer Activity *

27) Community Connections (optional)

(Please Check ALL that Apply)

28) Please describe how your civic and community experiences can benefit America CAN! *

29) Professional Expertise (optional)

Check ALL that apply

30) Please describe how your expertise skills can benefit America CAN! *

31) Personal Skills (optional)

Check ALL that apply

32) Other Skills: (optional)

33) Please describe how your personal skills can benefit America CAN! *

Please review your responses before submitting this questionnaire. Thanks for your interest in serving on the America CAN! Board of Trustees.

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Board Member Potential Interest Questionnaire