Thank you for your interest in YaleWomen. If a field does not apply to you, please type "N/A" or "None." Please complete and submit your application no later than Sunday, March 15, 2021. The election will be held by Tuesday, June 1, 2021.

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* 1. Full Name:

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* 2. Title (if applicable; otherwise type "None"):

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* 3. Profession/Occupation (if applicable; otherwise type "N/A"):

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* 4. Name of Employer and Title (if applicable; otherwise type "N/A")

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* 5. Yale Affiliation (School and Year)

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* 6. Ethnicity (Optional):

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* 7. Email:

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* 8. Preferred Phone Number:

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* 9. Mailing Address:

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* 10. Check all committees of interest to you: 

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* 11. Why would you like to be a member of the Council?

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* 12. What specific skills and experience can you contribute to the Council and Committees you have selected?

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* 13. Describe any relevant past or ongoing activities supporting YaleWomen, Yale or other affiliated entities:

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* 14. What will a successful term of being on the YaleWomen Council look like for you?

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* 15. Describe your other volunteer or community engagement activities:

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* 16. Is there anything else relevant to your application that you would like to share with us?

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* 17. Have you ever been convicted of a crime in a court of law? (Y/N.  If yes, please explain)

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