IFYE Board Member/Candidate Application

First Name

Middle Initial

Last Name

Residential Address

Country

Address Line 1 *

Address Line 2

City *

State/Province *

Postal Code *

Phone

Email Address

Relationship to IFYE

IFYE Member
IFYE Participant

Host Country

Year

(YYYY)

Name of Employer

Your Title

Address

Country

Address Line 1 *

Address Line 2

City *

State/Province *

Postal Code *

Work Phone

Work Email Address

Type of Business or Organization

Primary service(s) and area/population served

Brief Biography

Organization 1

Ogranization 1 Role/Title

Organization 1 Dates of Service

Start Date

–

End Date

Organization 2

Organization 2 Role/Title

Organization 2 Dates of Service

Please describe your education and training

Describe Awards

How do you feel IFYE would benefit from your involvement?

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Please check all that apply

Please describe other if checked above

Please list any groups or businesses that you could serve as a liaison on behalf of IFYE.

Please tell us anything else you'd like to share.

I am known by the following board members:

Ways to Give

Ways to Give

Board Member/Candidate Application

Board Member/Candidate Application Form