Join the Young Professionals Advisory Board Name:* First Last Date of birth:*MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Occupation:*Home address:* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Work address:* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Preferred mailing address?* Home Work Cell phone:*Work phone:*Preferred phone?* Home Cell Work Personal email:* Work email:* Preferred email?* Personal Work Personal backgroundDescribe your current civic/non-profit involvement.*Are you currently serving or have you previously served on a board? If yes, on what other boards have you served?*Relevant experiences and/or employment:*Areas of expertise/contribution you feel you could make to LBFE:*Please upload your résumé or CV.*Max. file size: 256 MB. Availability to serveCan you regularly attend the YPAB's meetings? (held on a monthly basis, in person or via Zoom).* Yes No What are any conflicts that might affect your attendance?*How many hours per month, in addition to YPAB meetings, can you contribute to our organization?*Will you contribute financial support to this organization?* Yes No Will you participate in fundraising for this organization?* Yes No Are you interested in one day sitting on the LBFE Board of Directors?* Yes No Your views on our organizationWhy are you interested in serving as a member of the LBFE's Young Professionals Advisory Board?*Please write a brief statement on your understanding of Little Brothers - Friends of the Elderly's mission.*CommitteesPlease rank these committees in order of initial interest.*Advocacy & CommunicationsFundraising & DevelopmentMembership & Social events Use "1" to indicate greatest interest.ReferencesReferences*NameTitleEmail addressPhone Please include information for three references; select "+" to add another row. Signature*Max. file size: 256 MB. Date* Δ
