Storyboard Member Application

Name *

First

Last

Email *

Phone *

Address *

Profession *

Employer *

Please describe why you are interested in serving on the Mudrooms Storyboard: *

Please list two or three ways you think you could contribute to Mudrooms as a member of the Storyboard: *

Please describe your understanding of Mudrooms Storyboard responsibilities and commitments: *

Please list any previous and current board experience and relevant affiliations: *

Areas of knowledge and/or experience *

Gender

Age

Race/Ethnicity

Website

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