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Board and Advisory Member Application

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I hereby apply for*

A vacant Board position on the Keep Iowa Beautiful Board of Directors

An advisory role with Keep Iowa Beautiful.

Contact Information

Name*

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Home Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Preferred Phone Number*

Preferred E-Mail*

Employer*

Title*

How do you prefer to receive mail/communications from Keep Iowa Beautiful?*

Home address (mail)

E-mail address

Phone Call

Other

Experience and Skills

Are you currently affiliated (volunteer, staff, board member, etc) with any non-profits or community organizations other than Keep Iowa Beautiful? Please list.*

Are you a member of any civic organizations such as Chamber of Commerce, Rotary, etc.? Please list.

Please check the industry that describes your current or most recent occupation:*

Accounting

Advertising

Agriculture/Agribusiness

Arts/Entertainment

Banking

Business Adminstration

Construction

Education

Finance/Insurance

Government/Public Administration

Healthcare

Hospitality/Service

Human Resources

Human Services

Information Technology

Legal

Media

Marketing

Manufacturing

Non-Profit

Real Estate

Retail

Sales

Transportation

Other

Please check all areas of experience, skills, and expertise that you would bring to the Board or Advisory Role for Keep Iowa Beautiful:

PR/Advertising

Program Evaluation

Financial Management

Education programming

Training/ Professional Development

Human Resources

Public Speaking

Grassroots Advocacy

Communications/ Social media

Legal

Information Systems Management

Fundraising

Public Policy/Lobbying

Grant Writing

Other (please specify)

Experience - other

If invited to serve with Keep Iowa Beautiful, please check your areas of interest:*

Education/Programs

Advocacy/Public Policy

Training/Development

Fundraising/Development

Communications/ Social media

Public Speaking

Organizational Planning

Why are you interested in becoming more involved with Keep Iowa Beautiful?*

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West Des Moines, Iowa 50266

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