I have read the Mission Statement, Benefits, and Board Member Responsibilities and fully understand my commitment as being a member of the CKA Board of Directors. *
Name *
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CKA Membership # *
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Address *
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Work Phone *
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Cell Phone *
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Position *
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Home Email *
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School Name *
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School District *
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Please include a list of educational experience: (degrees, credentials, and other certifications) *
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Please include a list of professional affiliations: (organizations and positions held in these organizations) *
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Please include a list of professional experience: (related to early childhood education) *
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Please include a list of contributions to early childhood education: *
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How have you participated in CKA? *
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What professional skills and talents would you be bringing to the CKA board? *
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What specific contribution could you make related to the Mission Statement of CKA? *
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Do you know any past or present CKA Board Member?If so, please share who. *