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Board of Directors Interest Intake Form

- Contact

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- Thank you for your prayerful consideration of serving on the Board of Mount Saint Francis Center for Spirituality. Please complete the information below. If you have any questions, please call us at (812) 923-8817.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED
  
  Please fill out this field. Please enter a phone number.
- Street Address 1 REQUIRED Please fill out this field. Please enter valid data.
- Street Address 2 REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Why are you interested in serving on the Board? REQUIRED Please fill out this field.
- What skills, experience, or gifts would you bring to the Board? REQUIRED Please fill out this field.
- Do you have prior board or leadership experience? Please describe. REQUIRED Please fill out this field.
- I certify that the information provided in this application is true and complete to the best of my knowledge. Please select this field.
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