North Central State College
Prospective Board Member Profile
Name:
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Home Address:
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County:
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Home Phone:
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Home Fax:
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Cell Phone:
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Home Email:
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Work Address:
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County:
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Work Phone:
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Work Fax:
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Work Email:
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Education:
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North Central State College
Prospective Board Member Profile
Current Job Title:
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Preferred Mailing Address:
_________________ Home
_________________ Office
Preferred Method of Communication:
_________________ Home
Areas of Expertise/Strengths:
__________________ Office
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Other Affiliations:
Non-Profit & For-Profit Making Organizations: (present)
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North Central State College
Prospective Board Member Profile
Board Member of a Regional Educational Service Center: (present)
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Elected Offical as a member of a Board of Education? (present)
_________ Yes
_________ No
FOR OFFICE USE ONLY
Candidate has met with:
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Candidate has reviewed and agreed to the Board of Trustees Member Job Description
and Expectations:
_________ Yes
Date Nominated to Board of Trustees:
Comments:
_________ No
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