1.Name:

2.Mailing Address:

3.Preferred phone number:

4.Why do you want to be a member of Community Early Childhood's Board of Directors?

5.Occupational/Work Experience:

6.Please list any abilities, skills, interests, licenses, certificates, or other specialized training which you would bring to CECC Board of Directors.

7.Would you be able to attend scheduled board meetings, attend occastional staff meetings, be committed to serving a 2 year term, and be committed to the overall success and wellbeing of CECC children, families and staff?

Yes

No

8.Are there any areas you are interested in supporting?

Special Events (eg- winter concert)

Teacher Appreciation

Fundraising

Finding/applying for grants

Public relations

Marketing

Recruitment

Facility Maintenance

Room parent to help with holiday parties/parades

Help manage special projects (eg- little library)

Other (please specify)

9.Are you aware of any conflicts of interest you would have if you were to serve on the CECC Board of Directors?

10.Additional information or references you believe may be helpful in considering your application: