This form is intended for individuals who are interested in joining the Board of Directors or a Board Committee of the Girl Scouts of the Chesapeake Bay. This information may also be used for press releases, diversity reports, and to assist in determining committee assignments. You may send a copy of your resume, along with a photo, to Amy Benson, Executive Assistant, at abenson@cbgsc.org.

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* 1. Contact Information:

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* 2. How would you like us to contact you?

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* 3. How did you hear about us:

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* 4. I am interested in joining:

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* 5. Areas of experience/expertise:

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