First Name Last Name Date of Birth (ie: 1980-10-30) Address (Street, City, State, ZIP) Preferred Email Preferred Phone Employer Job Title How did you hear about United Ability Junior Board? Why are you interested in serving on the Junior Board? Do you have any special talents or connections that you feel would be beneficial? Please list any service organizations or Junior Boards you have served or are currently serving on (please include years): Please describe any other volunteer or civic obligations: I understand that if accepted as a Junior Board Member, I am expected to: attend monthly meetings. If unable to attend a meeting, I will notify board officers at least 24 hours prior to the board meeting. provide significant support for the annual Junior Board events through actions such as securing sponsorships, selling tickets, participating in event execution and assisting during the event. serve a minimum term of 3 years and may choose to extend service each year up to 3 additional years after the initial term, if membership requirements have been met. pay annual membership dues as established by the Executive Committee. I understand that application to the Junior Board does not guarantee membership. Applications are reviewed and voted on by the Executive Committee before invitations are extended. By clicking "Submit," I agree to all of the details outlined above and officially offer myself for consideration of membership.