Ford Institute Working Team Application

Deadline to apply: Rolling. Questions to cbacoordinator@tfff.org

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* 1. Best Contact Information:

Name

Address

City

State

Zip Code

Email Address

Phone Number

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* 2. Community:

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* 3. What are some of the ways you are or have been involved in your community?

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* 4. Why are you interested in serving on a Ford Institute Working Team?

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* 5. What are some of your skills, experiences and characteristics that you are willing to bring to the team?

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* 6. What is the best time frame to serve?

Feb 2018-July 2018

Aug 2018-Jan 2019

A future time

Other (please specify)

By submitting my application, I acknowledge this understanding, as well as the commitment of my time. I have read and understand the expectations for members of the CBC Work Team. I understand that, if I am selected to serve on a Work Team, I am doing so as an agent of my community, and the greater community of Oregon and Siskiyou County, CA, and will do my best to provide valuable, relevant input on behalf of those communities.