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Board Member Application

Thank you for your interest in joining our board! Use this form to provide useful information about yourself to ensure the best match between you and The Little Black Bag Inc.
Educational Background
Work History (Most Recent)
Briefly describe why you would like to join our Board of Directors:
Your current organizational affiliations (names of the organization and your role(s):
Which of your skills would you like to utilize on the Board? 
Mark all those that apply:
Mark all those that apply:
Please provide 3 references along with contact information for each:
By joining the board of The Little Black Bag Inc you agree that you can provide at least 2-4 hours a month in attendance to board and committee meetings along with additional events or obligations. You also consent that you do not or will not in the future, have any conflict-of-interest in participating on the Board of Directors for The Little Black Bag Inc.
If you are not selected as a member of the Board, or if you decide not to join, would you like to be a volunteer to assist our organization in various ways that match your skills and interests?
Select an option

Thanks for submitting!

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