Board of Directors ApplicationBoard of Directors ApplicationPlease enable JavaScript in your browser to complete this form.Date *Name *FirstLastAddress *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email *Section DividerEmployer *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email *Position in the company *Type of business/organization *Primary service(s) and area served *Preferred method of contact *WorkResidenceSection DividerPlease list boards/committees you serve on, or have served on, your role/title, and dates of service *(business, civic, community, fraternal, political, professional, recreational, religious, social)Education/Training/Certificates *(Optional) Have you received any awards/honors that you'd like to mentionHow do you feel Toledo's PET Bull Project would benefit from your involvement on the Board? *Skills, experience, and interests (check all that apply)Finance/AccountingPersonnel/HRAdmin/ManagementNon-profit experienceCommunity servicePolicy developmentProgram evaluationPublic relations/CommunicationsEducation/InstructionSpecial eventsGrant writingOutreach/AdvocacyAny skills/experience/interests not listed above, please write belowPlease list any groups, organizations, or businesses that you could serve as a liaison to on behalf of Toledo's PET Bull Project *Please tell us anything else you'd like to shareSubmit