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Duchesne Board of Directors Position Application
Duchesne Board of Directors Position Application
Date
(mm/dd/yyyy)
New Board Member Approval
Re-Approval for Board Member Position
Why do you want to be on the Duchesne Board of Directors?
First Name
Last Name
Street
Apt, floor, suite, etc.
City
State
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Zip
Phone
E-mail
Are you a Duchesne alum?
Yes
No
If yes, when did you graduate?
Spouse name (N/A if not applicable)
Is your spouse a Duchesne alum?
Yes
No
If yes, when did they graduate?
Number of children (N/A if not applicable)
Children names
Do your children attend Duchesne?
Yes
No
If yes, what are their grade(s)?
Are any of your children alumni?
Yes
No
If yes, when did they graduate?
Religion
Parish/Congregation
Business Information:
Name of employer
Position/Title
Please provide a brief bio including any relevant skills/experience/hobbies
Referred By: (If applicable)
Relationship
Current
month
ye@r (4 digits)
day
*
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Board of Directors and Committee Members Application Forms
Duchesne Board Committee Position Application
Duchesne Board of Directors Position Application
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