Committee Application Form - DOC - DOC by 0uvt5vGn

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									                      Committee Application Form                        Date__________

Committee in which you are
interested_______________________________________________________________
Your name ________________________________________________________________________

Your address ______________________________________________________________________

Your phone number _________________________________________________________________

Your email address__________________________________________________________________

How would you like to contribute to this committee?
____________________________________________________________

__________________________________________________________________________________

If a veteran member, would you be willing to serve as chair? _________________________________

If there is no room on your committee of choice, would you be willing to serve on another committee?
_______________

Do we have permission to publish your contact information in our newsletter and our website? ______

Nepenthe Committees are:

___ Architectural

___ Election

___ Finance

___ Grounds

___ Insurance

___ Nominating

___ Outreach

___ Social


Complete this form, and mail or deliver to the Nominating Committee at the Nepenthe office at
1131 Commons Dr Sacramento, CA 95825

								
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