Legacy Board Interest Form 
Thanks for your interest, please take a moment to fill out the interest form below and a member of our team will get in touch with you regarding next steps.
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First and Last Name: *
Full Address with City, State, Zip Code *
Preferred Email: (Please re-enter)  *
Best Phone Number: *
What is your age? *
What is your current position and what company do you work for?  *
Highest level of education completed :
*
Required
Please provide your social media handle: 
(Facebook/ Instagram/TikTok/ Etc.) 
*
Are you interested in being a Board Member and able to commit to meeting virtually four times a year while assisting to help the organization grow? 
(Check all that apply) 
*
Required
What is the best way to contact you? 
*
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