JL
Junior League of
Evansville
Outside Board Representative Request
Applicant/Agency/Organization Name
Name of contact person
Phone number
Email address of contact
Organization address
Is your organization a 501C3?
Select ...
Yes
No
Nonprofit goals and/or purpose
Comminity issue addressed by your nonprofit organization:
Population served by your organization:
Job description of the position you are filling:
Proposed responsibilities of individual needed:
Meeting time and frequency:
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