Board Member Updates

Please select one of the following options:*
- I am joining the board for the first time OR I want to update my contact information.
- I am a returning board member.
Welcome Back!
Name*
First Last
Birthday (month and date)*
Contact Information
Please provide your contact information below.
Name*
Prefix First Middle Last Suffix
Other Prefix:*
Preferred Name
Preferred Name
Birthday*

Month/Day
Spouse's Name
First Last
Cell Phone*
Home Phone
Personal Email*
Enter Email Confirm Email
Home Address*
Street Address Address Line 2 City State ZIP Code

Community Affiliations
Church Membership
Civic and Board Affiliations
Are you involved in any other civic or non-profit organizations? Please let us know how you are involved/related and if there is a term associated with your service. Click the "+" symbol to add a new row.
Organization Relationship Term
Donor-Advised Funds / Family Foundations
Are you connected to any donor-advised funds or family foundations? Please list them below. Click the "+" symbol to add a new row.

Welcome Back!

Organization	Relationship	Term