Board of Trustee Nomination Form

The information you provide below will be used by the Nomination/Board Development Committee of the Augusta Partnership for Children, Inc. Board of Trustees to select a slate of candidates best qualified to serve on the Board. Selected candidates will be voted on by the full board. Candidate Information (you may nominate yourself or another member)

Full Name *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Daytime Phone Number *

Evening Phone Number *

Email Address *

Preferred method to reach me/candidate *TelephoneEmail

Employment/Position: *

Please check any of the following skills or experience that the candidate possesses. *

Management or administration Nonprofit, cooperative or mutual Healthcare or provider Finance or accounting Legal Marketing or communications Insurance experience

Please tell us why you think the candidate would be a valuable member of to the APC Board of Trustees. *

Affiliations, organizations or Boards of Directors the candidate belongs to (e.g., membership, professional, civic). *

Please upload a copy of your resume *

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