Advisory Committee Application
(Please complete this form and mail to BCWB, P.O. Box 3528, Frederick, Md. 21705-3528)
APPLICANT'S NAME: |
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LAST
FIRST
MI
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APPLICANTS ADDRESS: |
| STREET NUMBER AND NAME |
| CITY / STATE / ZIP CODE |
| HOME TELEPHONE
#: (
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WORK (
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| Evenings / Day available to meet:______________________________________ |
Areas interested in working:_____________________________________________________ (Youth Sports, Administration, Fundraising, etc..) |
Email Address_______________________________________________ |
| By signing below, you have read and understand the duties and responsibilities of an advisory committee member. If you have not, see organizational Web page (WWW.BCWB.ORG) to review duties and responsibilities. Advisory committee members are asked to server a term of at least one year. After one year of service, the member will have the option to resign or continue service for another year. |
APPLICANT'S SIGNATURE Date_________________ |
PRINTED NAME: |