Board Candidate Profile Form

BOARD CANDIDATE PROFILE FORM

Please complete the following candidate profile form. We will be in touch with you to discuss the next steps in the board matching process. Thank you for your interest!

CONTACT INFORMATION

Your Name(Required)
Company Address
Your Address



EXPERIENCE – Please rate on a 1 – 5 scale; 5 = significant prior experience, 1 = no prior experience




WHAT YOU BRING TO THE BOARD – Please rate on a 1 – 5 scale; 5 = significant access, 1 = nominal access




ADDITIONAL

Max. file size: 128 MB.