SCIPL Leadership Council Application

Contact Information

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Email*
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Company
Areas of Expertise (please check all that apply)
Other areas of expertise/skills:
How did you learn of SCIPL?
Current Relationship to SCIPL?
History of Community / Volunteer Services
Membership in Civic/Professional Associations
Prior Nonprofit Leadership and/or Board Experiences
Special Interests/Hobbies
What areas of the SCIPL Leadership Council are of interest to you?
How will being a member of the SCIPL Leadership Council be good for you personally?
We expect that Leadership Council members will spend approximately 8 hours per month on SCIPL work. Can you make this time commitment?
Date of availability for Leadership Council Service
Length of Term to which you can commit?
Please supply two references.
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