Board of Directors Form - EastLake Educational Foundation

Your Name*

Email*

Phone Number*

Address*

Street Address City State ZIP

Date of Birth*

MM/DD

Emergency Contact Name*

Emergency Contact Phone Number*

Board of Directors Term Start Date*

Outline your School Affiliation

Why have you chosen to serve on the BOD? (This answer will be shared on the EEF website)*

25 words or less

Work Experience ( providing a LinkiedIn address will work if its up to date)*

Up to 3 past jobs with dates, name of the employer and role

Summary of Work Experience (will be shared on the EEF website)*

200 words or less

Volunteer Affiliations*

Primary Skillset:*

Check all that apply

I have read and agree to follow EEF’s Code of Ethics and Commitment Pledge*

Name

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