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* 1. Name of Applicant:

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* 2. Applicant’s Board Title:

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* 3. Credit Union:

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* 4. Credit Union City/State/Zip:

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* 5. Credit Union Assets

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* 6. Number of Years Served on Board of Directors

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* 7. Number of Years in Current Board Position

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* 8. Email Address (required)

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* 9. Why do you want to attend the Leadership Development Seminar?

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* 10. How will you share with others at your credit union what you’ve learned at the Seminar?

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* 11. Briefly describe why attending this Seminar is important to your volunteer development:

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* 12. Explain how attending the Seminar will help you and your credit union better serve your members.

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