LBCA Board Member Application

Employer Name: *

Address *

Phone *

What can you add to the LBCA as a board member. *

Describe your primary job responsibilities *

Would your company be willing to commit to the time away from work you would need to be an LBCA Board Member? *

Yes

Job Title *

Business Phone *

Years in current position *

LBCA Board Member Application

How can you help with raising funds for the LBCA? *

Employer Address *

What goals and objectives do you feel necessary for the LBCA? *

Please describe your involvement currently or in the past with any non-profit organizations. If possible, please include your years of service to each

Name: *

Please submit a biography, reasons you would like to serve and any values you can add as a Board Member *

Email: *