PROSPECTIVE BOARD MEMBER INTEREST QUESTIONNAIRE

Full Name


Email


Address


City


State


ZIP


Phone


Work Phone


Please Answer The Following Questions

What Is Your Occupation?


Summary Of Work Experience


Educational Background


Why Do You Wish To Serve On The Board Of Directors of the Operation L.A.P ^® Foundation?


What Expertise/Skills Would You Bring To The Board?


Describe any other community group(s) or organization(s) in which you have participated. Please describe your role in each.


Do you have any knowledge, experience or direct involvement with organizations involved in child safety issues?


All Board members sit on a committee. Please indicate your interest for committee assignment for the following committees.
(1 = Highest Interest, 3 = Least Interest)

Personnel

Finance

Fund Development

Board Development

Public Affairs

How Did You Hear About This Position?


We sincerely appreciate your interest. Thank you!

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