2022-23 Community Foundation of Grant County Board Member/Committee Member Application

Personal

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* 1. Contact Information

Name (Mr./Mrs./Ms.)

Home Address

City/State/Zip

Home County

How many years have you lived in Grant County?

Home Phone

Cell Phone

E-Mail

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* 2. Additional Information

Age

DOB

Sex

Spouse

Spouse's Occupation

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* 3. Are you of Spanish, Hispanic or Latino origin?

Yes

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* 4. How would you describe yourself?

White or Caucasian

Black or African American

Hispanic or Latino

Asian or Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

Other (please specify)

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* 5. Areas of Expertise:

Administration

Business

Planning

Agriculture

Finance

Legal

Audit

Human Resources

Investment

Marketing

Education

Donor Development

Facilities Maintenance

Non-Profit Governance

Other (please specify)

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* 6. Organization Experience

Business

Government

Nonprofit

Other (please specify)