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Prospective Board Member Information Sheet
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* Indicates required question
Email
*
Your email
Name of Prospective Board Member:
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Your answer
Leadership Committee position seeking:
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Membership Committee Leader
Emerging Leaders Committee Leader
Advocacy Committee Leader
Conference Committee Leader
Current Title:
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Your answer
Organization/Place of Employment:
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Your answer
Address:
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Your answer
City, State, Zip:
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Your answer
Telephone Number and preferred time to contact:
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Your answer
Source of referral/information (self nominated, friend, co-worker, etc. Give contact info.):
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Your answer
How long have you been in the early childhood field?
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Your answer
Share with the committee a minimum of three reasons why you would be a viable candidate for this position.
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Your answer
Share the strengths you will bring to the Chapter.
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Your answer
How much time are you willing to dedicate to the Chapter?
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Your answer
Professional Background:
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Your answer
Other Affiliations:
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Your answer
Other Board Services:
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Your answer
Other pertinent information, such as attributes identified as need on SA Chapter of TXAEYC board:
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Your answer
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