Board Nomination

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SCC Foundation: Board/Committee Member Nomination
Candidate Information:

First Name*

Last Name*

Email*

Personal Phone (include area code)*

Work Phone (include area code)*

Preferred method of contact

Phone

Email

Address*

Address (optional)

City*

State*

Zip/Postal Code*

Employment/Position*

Education*

Previous Experience (if any). Include company name or organization*

Select any of the following skills or experience that the candidate possesses. (Multiple check box(es) may be selected)*

Finance, Accounting

Grant Writing

Fundraising, Events

PR, Communications

Management, Administration

Nonprofit Experience

Teaching, Curriculum

Contacts, Networking

Other

If you selected "other" in previous response, Input their experience.

Affiliations or organizations the candidate belongs to (membership, professional, civic).

Your Information:

First Name*

Last Name*

Phone (include area code)*

Email*

Your preferred method of contact*

Email

Phone

Has your nominee been contacted to determine their interest in being nominated? *

Yes

No

Date (dd/mm/year)*

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