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Keokuk Area Chamber of Commerce Board Application
Thank you for your consideration to be on our Chamber Board. Please fill out the below information for review. If you have further questions, please do not hesitate to contact us at
membership@keokukchamber.com
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Email
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Your email
Your name
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Your answer
Phone number
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Your answer
Mailing Address
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Your answer
Employer/Type of Business/Your position(Title)/Services provided
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Your answer
Work Address/Email
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Your answer
Preferred method of contact
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Email
Phone
Mail
Please list boards and committees that you serve on, or have served on (business, civic, community, fraternal, political, professional, recreational, religious, social). Your role and dates served.
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Your answer
Education/Training/Certificates
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Your answer
Optional – Have you received any awards or honors that you’d like to mention?
Your answer
How do you feel Keokuk Area Chamber of Commerce would benefit from your involvement on the Board?
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Your answer
What areas of interest do you have contributing to the KACC?
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Finance, accounting
Personnel, human resources
Administration, management
Nonprofit experience
Community service
Policy development
Program evaluation
Public relations, communications
Education, instruction
Special events
Grant writing
Fundraising
Outreach, advocacy
Membership recruitment
Arts and Culture
You may add additional if not listed in the last question of this survey
Other:
Required
Please list any groups, organizations or businesses that you could serve as a liaison to on behalf of Keokuk Area Chamber of Commerce.
Your answer
Please tell us anything else you’d like to share.
Your answer
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