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Application for Board Membership
Thank you for your interest in the North Iowa Children's Alliance Board.
Please note that this page is for serious Board Membership applicants only.
Solicitation of offers or services is not permitted on this page.
* Indicates required question
Email
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Your email
Name
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Your answer
Address (Street, City, State, Zipcode)
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Your answer
Email Address
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Your answer
Cellphone or Home Phone Number
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Your answer
I am a resident of:
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Cerro Gordo County
Hancock County
Worth County
Where are you employed?
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Your answer
What is your prior nonprofit experience? Please explain any prior board experience that you may have had.
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Your answer
Why do you want to be a member of the North Iowa Children's Alliance Board? What can you do to contribute to this board?
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Your answer
How did you hear about the North Iowa Children's Alliance Board?
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Board Member
Print or New
County Website
North Iowa Children's Alliance Website
Director of North Iowa Children's Alliance
Funded program of the North Iowa Children's Alliance
Other:
Are you a direct or indirect recipient of North Iowa Children's Alliance funding?
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Yes
No
Not Sure
Additional comments to the North Iowa Children's Alliance Board:
Your answer
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