Personal Information

First Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip Code *

Daytime Phone Number *

Email Address *

Age *

Race/Ethnicity *

Gender *

Occupation *

What makes the YMCA's mission meaningful to you? *

What experiences do you have - personal or professional - that is related to our mission? *

What skills, perspectives and life experiences will you bring to the board? *

Describe any relationships and/or resources that could bring value to our organization? *

How did you hear about this opportunity? (select all that apply) *

Social Media (Facebook, Instagram, Twitter, etc.

Referral from current member

Other referral Other referral

Please confirm that you can commit to attending in-person board meetings held on the last Wednesday of Jan-December from 5:30pm - 6:30pm. View Board Calendar. *

Yes, I can commit

No, I cannot commit

Please upload your resume to this application