Page Two
Please list other service or professional organizations you have been associated with in the last 5 years?
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Do you have any personal/professional associations with individuals, businesses or other organizations that
would be considered a conflict of interest?
______________________________________________________________________________________
______________________________________________________________________________________
About Your Spouse
Spouse’s Name _________________________________________________________________________
Wedding Anniversary _____ / _____ / _____ Children’s Name(s) _________________________________
Occupation _______________________________
Title/Position ______________________________
Business Name _________________________________________________________________________
Business Address _______________________________________________________________________
Street
City
State
Zip
Please list any civic, church, charitable or non-profit organizations your spouse belongs to:
______________________________________________________________________________________
______________________________________________________________________________________
Areas of Interest
Please help us identify the unique skills and talent you possess to better benefit the children and families of
Northern Nevada.
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_______________________________________________________________________________________
If you feel you have a special talent to offer in the following areas, please let us know:
Accounting
Cooking
Direct Mail Design
In-Kind
Special Event
Solicitation
Planning
Audio/Video
Decorating
Grant writing
Inventory
Translating:
Production
Bookkeeping
Delivery/Pick-
Graphic Arts
Photography
Up
Language_________
__
Bulk-Mail
Desktop
Hospitality/House
Printing
Word Processing
Preparation
Publishing
Tours
M:Volunteer Jobs & InfoVolunteer App WORD 1-20-12.doc