APPLICANT'S NAME: |
|
LAST
FIRST
MI
|
APPLICANTS ADDRESS:
|
| STREET NUMBER AND NAME |
|
| CITY / STATE / ZIP CODE |
HOME TELEPHONE
#: (
)
WORK (
)
|
| 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: |
