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

Biography

Organization 1

Ogranization 1 Role/Title

Organization 1 Dates of Service

–

Organization 2

Organization 2 Role/Title

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Organization 2 Dates of Service

Please describe your education and training

Describe Awards

How do you feel IFYE would benefit from your involvement?

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

Personal Information

Career - If retired, please use last position held

Brief Biography

Please list boards and committees that you serve on, or have served on (business, civic, community, fraternal, political, professional, recreational, religious, social, etc.).

Education/Training/Certificates

Optional

Skills, experience and interests

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