Committee Application Form - DOC - DOC by 0uvt5vGn


									                      Committee Application Form                        Date__________

Committee in which you are
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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