Our Board

Name *

First Name

Last Name

Personal Phone *

(###)

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Home Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Work Phone

(###)

###

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Preferred method of contact *

Personal

Work

Skills and experience *

(please check all that apply)

Administration/management

Community service

Education, instruction

Finance, accounting

Fundraising

Grant Writing

Nonprofit experience

Outreach, advocacy

Personnel, human resources

Policy development

Program evaluation

Public relations/communication

Special events

Veteran

Law enforcement

Firefighter

E.M.S.

Nurse

Law

Other

Certification *

I acknowledge by submitting this application I am asking to be considered for a volunteer board position with IOWA Service Dogs. I understand that I will be a representative of IOWA Service Dogs and will conduct myself in a manner that will reflect positively on the organization. I certify that the information contained in this application is true and complete. I understand that false information may be grounds for excluding me from consideration or immediate termination from the board. I authorize the verification of any and all information listed above. I have read and understand the "Expectations of Board Members" document (below) and I am willing and able to fulfill the requirements outlined.

Yes

No