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WIIS Blue Book Form

WIIS Blue Book Form

WIIS Blue Blook

Email*
Name*
First Last
Address*
Country of Residence*
U.S. State (if you reside in the USA)
City of Residence*
Phone Number*
Race and Ethnicity: (Select all that apply)*
- American Indian or Alaskan Native
- Asian
- Black or African American
- Hispanic, Latino, or Spanish
- Middle Eastern or North African
- Native Hawaiian or other Pacific Islander
- White / European
- Prefer not to Disclose
- Other
Gender Identity*
- Female
- Male
- Nonbinary
- Prefer not to answer
- Other
Current Employer*
Professional Work Experience*
- 10-15 Years
- 15-20 Years
- 20-25 Years
- 25+ Years
Board Members are often required to fundraise for their organizations. Are you willing to raise money for your organization?*
- Yes
- No
Expertise
To select multiples hold down: control and click (for PC) or command and click (for Mac)
Describe a professional or volunteer experience that you feel qualifies yourself for service on a board:*
Upload Bio*
Documents MUST be a PDF or Microsoft Word Document. Please upload the file with the format LastNameFirstNameBio.
Upload CV*
Documents MUST be a PDF or Microsoft Word Document. Please upload the file with the format LastNameFirstNameCV.
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