Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

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Highest Level of Education completed: *

Secondary

Undergraduate

Graduate

Employment *

Employed (Full-Time)

Employed (Part-Time)

Retired

Other

Please identify the skills, experience, and interests you will bring to a Board position (check all that apply): *

Development & Donor Relations

Strategic Planning

Membership Growth & Retention

Program Development

Grant Writing & Fundraising

Finance & Accounting

Evaluation

Community Relations / Networking

Legal

Gallery Management

Performance

Education & Instruction

Engineering & Facilities

Marketing & Promotion

Volunteer Management

Nonprofit Administration

History & Preservation

Graphic Design

Theater Production