Board Application - Upper Des Moines Opportunity, Inc.

Name *

First

Last

Phone

Email *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Please tell us why you would like to serve on UDMO’s Board of Directors.

Please describe any experience (including number of years) you have had with UDMO’s programs. (Are you familiar with particular services? Have you volunteered with any of our programs?)

Please list any areas in which you have expertise or skills that would benefit UDMO’s Board of Directors (financial, legal, marketing, fundraising, human resources, etc.).

References

Reference 1 Name *

Phone *

Organization or Relationship *

Reference 2 Name *

Phone *

Organization or Relationship *

Reference 3 Name *

Phone *

Organization or Relationship *

Signature

Date / Time

Board of Directors Membership Application

References