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Board Member Interest Form

Thank you for your interest in serving on our Board of Directors!

Please complete the form below to share your background and areas of interest. Someone from our team will follow up soon.

Contact Information

First Name *

Last Name *

Email *

Phone *

Mailing Address

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Country

Background & Experience

Current Employer / Occupation

Please share a brief summary of your professional or volunteer experience

Have you previously served on a nonprofit or community board?

Please list organization(s) and role(s):

Interest & Availability

Why are you interested in serving on this board?

Please check any areas where you feel you could contribute:

Fundraising / Development
Finance / Budgeting
Marketing / Communications
Community Outreach
Governance / Policy
Program Evaluation
Other

Please specify:

Are you currently a resident of Winneshiek County?

Preferred method of contact:

Email
Phone

Acknowledgment

By submitting this form, I acknowledge my interest in learning more about board or committee opportunities. Submission does not guarantee appointment.

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PO Box 165, Decorah, IA 52101

(563) 241-5418

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