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* 1. Full Name

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* 2. Email Address

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* 3. Phone Number

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* 4. What part of the state do you currently live and work?

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* 5. Agency/Organization:

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* 6. Agency/Organization Address:

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* 7. Current Position:

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* 8. Current Credentials/Licensure:

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* 9. Tell us why you are passionate about NCFADS. What does serving on the NCFADS Board of Directors mean to you?

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* 10. Please include a brief description of your professional work history. 

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* 11. Tell us about your Volunteer Experiences:

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* 12. Describe your Strengths and Qualities that you may bring to the NCFADS Board:

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* 13. Please rate your experience in each of the following areas. 1=No Experience 5 = Lot's of experience, Can teach a class on this area.

  1 | No Experience 2 | Limited Experience (Familiar topic area) 3 | Not sure how to answer the question.   4 | Experience. Comfortable with the topic area.  5 | Lots of experience and comfort in the topic area.  Others come to you for advice.  
Marketing
Conference Planning
Event Management
Fundraising 
Grant Writing
Non Profit Board Experience
Finance
Strategic Planning

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* 14. In reference to the specific focus areas listed above, please elaborate and share with us why you ranked yourself the way you did. Specific examples are helpful.

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