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*

Why have you chosen to serve on the BOD?*

25 words or less

Work Experience*

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

Description of Work Experience*

200 words or less

Volunteer Affiliations*

Primary Skillset:*

Check all that apply

I have received a copy of the Articles of Incorporation and Bylaws*

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

Name

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