Board of Directors Expression of Interest

Instructions: Please complete this form if you are interested in being considered for service on the Des Plaines Chamber of Commerce Board of Directors. Submitting this form indicates your interest only and does not guarantee board placement.

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1. Please provide your full name.

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2. What is your company or organization name?

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3. What is your title or role within the company?

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5. Please provide your phone number.

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6. What is your industry or sector?

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7. What is the size of your company (number of employees)?

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8. Are you currently a Des Plaines Chamber member?

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9. How are you currently involved with the Chamber? Select all that apply.

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10. Briefly describe your interest in the Chamber and its mission.

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11. Please indicate areas where you have experience or expertise. Select all that apply.

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12. What skills, perspectives, or connections would you bring to the Board?

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13. Are there specific committees or focus areas you are most interested in?

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14. Are you able to commit the time and energy required for board service?

VIEW CODE OF CONDUCT

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15. Preferred timeframe for board consideration:

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16. Optional: Please select any optional self-identification information you would like to share. You may select “Prefer not to say” for any item.

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17. Please describe your connection to the community

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18. I understand that submitting this form represents an expression of interest only and does not create an offer or obligation of board service:

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19. Please provide your name and the date.

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