The Assistant Executive Director Application Form

Name *

First

Last

Email *

Phone Number *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Briefly describe why you would like to join our Executive team: *

Your current organizational affiliations (names of the organization and your role(s): *

What would you like to get for yourself out of your participation on the Executive team, e.g., what types of experiences, skills to develop, interests to cultivate for you, etc.? *

If you join the Executive team, you agree that you can provide at least 5 hours a week in community related activities. *

Signature *

Upload Resume *