Leadership Kearney Board Member Application Form
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Name: *
Phone Number: *
Email: *
Leadership Kearney Class #:
Relevant Experience and/or employment: *
Why are you interested in serving on the Leadership Kearney Board of Directors? *
What specific area(s) of expertise/contribution do you feel you can make on our Board? *
Other volunteer commitments (please list names of the organizations)
Past/current Board experiences (please list names of organizations)
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