2022 Application for Board of Directors

2022 Application for Board of Directors
Name

First NameLast Name
Name of Business
Business Industry
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mailing Address (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address
Business Phone

Area CodePhone Number
Cell Phone

Area CodePhone Number
Executive Committee Position Applying For
Are you interested in serving on the EDC Board as the Chamber representative?
Are you interested in serving on the MSPA Board as the Chamber representative?
Please check the committee(s) you are willing to Chair or Co-Chair. (Must choose at least one.)
Please check the committee(s) you are willing to participate in. (Must choose at least one.)
Please check the skills(s) you will contribute to the Board of Directors.

Other
Please list all boards and/or committees (include dates of service, role or title served) that you currently serve on, or have served on (business, civic, fraternal, political, professional, recreational, religious, social).
Can you attend regular meetings and special meetings?
Why do you want to serve on the Board of Directors for the Parkville Area Chamber of Commerce?
How do you feel the Parkville Area Chamber of Commerce would benefit from your involvement on the Board?
Please tell us anything else you would like to share.
Please list 3 professional references and please make at least 1 of them a current Parkville Area Chamber of Commerce member.
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