* 1. Name:

* 2. Contact Information

* 3. Employment (note: this information will only be used to determine conflict of interest)

* 4. Please list boards and committees that you serve on, or have served on (business, civic, fraternal, community, political, professional, recreational, religious, social).

Include Organization, Role/Title, Dates of service

* 5. Education/Training/Certificates/Awards/Honors relevant to this position.

* 6. Describe your familiarity with technology, education systems, and online learning.

* 7. How do you feel Minnesota Online High School would benefit from your involvement on the board?

* 8. Skills, experience, and interests: check all that apply.

* 9. Please craft a 150-200 word summary of 1) your personal experience/qualifications that relate to being a board member, 2) the manner in which you believe you can contribute to MNOHS as a school board member, and 3) any other information you would like to add. This summary will be sent out to our school community along with the election ballot.

* 10. How did you hear about this opportunity to serve on the MNOHS Board of Directors?