Women's Symposium Board Members Online Application

Name: *

Address:

Phone Number:

Email Address:

Occupation: *

Title:

Relevant Experience

Hobbies: *

Availability: *

Could you attend at least 8 monthly meetings? *

Yes

Have you attended past Symposiums? *

Yes

What do you think you could add to the Women’s Symposium board? *

Do you know any current or past board members, who if so? *

Any additional information you would like to add: *

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