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Junior Board Application

1Basic Information
2Skills & Experience
3References
Name(Required)
Address(Required)
Are you currently employed?(Required)

Employment

Company Address(Required)
Please list each on a separate line
Please list each on a separate line or put N/A
Please list each on a separate line and include the organization names and dates of service
Do you have reliable transportation?(Required)
Are you willing to help coordinate and volunteer at events?(Required)
Can you attend bi-monthly meetings?(Required)
Please list 2 to 3 people who know you well and can attest to your character, skills, and dependability.(Required)
We suggest listing your current or previous employer for one of your references.
Name/Organization
Relationship to You
Length of Relationship
Phone Number
 
Commitment Statement(Required)
Please read carefully before checking the box below:

l understand that this is an application for and not a commitment or promise of membership to Community Grief Support's Junior Board. I certify that I have and will provide information throughout the selection process, including on this application and in any interviews with Community Grief Support that is true, correct and complete to the best of my knowledge. I understand that information contained on my application may be verified by Community Grief Support.

1119 Oxmoor Road
Homewood, AL 35209

205.870.8667
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