Camp Janus Board of Directors Application


Board of Directors Application
Please provide the following information about yourself
Full name: *
Full name:
Please provide your name as it appears on your Driver's License
Phone number: *
Phone number:
Address: *
Address:
Which of your skills would you like to utilize on the Board? Check those that apply:
If you join the Board, you agree that you can provide at least 4-5 hours a month in attendance to Board and Committee meetings, and that you do not have any conflict of interest in participating on the Board.
If you are not selected as a member of the Board, or if you decide not to join, would you like to be a volunteer to assist our organization in various ways that match your skills and interests?