1 Start 2 Complete Name: * Home Address: * Phone / Cell Phone: * Email Address: * Secondary Email: Employment Status: * Currently Employed Self Employed Retired Other Company Name: Job Title / Department: Address: Phone: Are you a current donor to UWNEK? * Yes No Donor Type Individual Donor Company Payroll Deduction Have you been involved with UWNEK in the past? * Yes No Past involvement Led or assisted with my employer's campaign efforts Community Investment Team Campaign Committee Event Planning Other Other What experience, education, skills or background makes you a good candidate for consideration? * What interests might you have in serving on the board? * Finance Fundraising Event Planning Community Investment What previous board experience do you have? * Please include length of service.