CrossWinds Board Member Application Application "*" indicates required fields Name* First Last 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 Phone Number*Email* Current Position*Current/ most recent employer*Relevant Experience and/ or Employment:*Please check all areas of expertise/ contribution you feel you can make to further our mission:* Fundraiser Special Events Legislative Contracts Public Policy Advocacy Strategic Planning Evaluation Policy Development Capital Campaign Financial/ Accounting Technology Public Relations/ Marketing Please list prior experience serving as a Board member for other non-profit organizations.What other volunteer commitments do you currently have?Why are you interested in serving as a Board member?*Please share any other information you feel important for consideration for your application as a Board candidate.Reference 1Name First Last CompanyPhoneRelationshipTitleEmail Reference 2Name First Last CompanyPhoneRelationshipTitleEmail
