Committee Membership Form

Your Information

First Name*

Middle Initial

Last Name*

Mailing Address*

Email Address*

Home Phone*

Employer Information

Company Name*

Your Title*

Company Address*

Company Number*

Business Type*

Primary Service(s) and Area/Population Served

Preferred Method of Contact*


Your Experience

List any boards and/or committees you've served:

Business, civic, community, fraternal, political, professional, recreational, religious, social, ect.

Organization Role/Title Dates of Services

Education/Training/Certificates, etc.

Have you received any awards or honors you’d like to mention?

How do you feel our board would benefit from your involvement?

Skills, experience and interests:

Check all that apply.

Administration/ManagementBoard DevelopmentFinance/AccountingGovernment Operations/PermittingGrant WritingFundraisingMarketing/AdvertisingNon-Profit ExperienceSocial MediaSpecial EventsSponsorship OpportunitiesOutreach/AdvocacyPersonnel/Human ResourcesProgram EvaluationPublic Relations/CommunicationsPublic Safety/MedicalVolunteer RecruitmentVolunteer ManagementOther(s):

List any groups, organizations or businesses that you could serve as liaison to on behalf of Orange County LGBT Pride:

Please tell us anything else you'd like to share:

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