Board of Directors Initial Interest

Please complete the form below and a VANTAGE staff member will get back to you as soon as possible. If you have any questions, please feel free to contact our office at 330-253-4597.

Name *

First

Last

Home Address *

Address Line 1

Address Line 2

City

State

Zip Code

Mobile Phone *

Your Email *

Employer Name *

Employer Address *

Address Line 1

Address Line 2

City

State

Zip Code

Please check all areas in which you have skills or experience: *

Accounting
Banking/Finance
Computers/IT
Corporate Connections
Adult
Education
Entrepreneurship/Small Business
Funder Connections: Agency
Funder Connections: Foundations/Donors
Fundraising/Events
Government
Hospital
Human Resources
Legal
Manufacturing/Food Production
Public Relations/Marketing
Real Estate/Property Management
Senior Housing
Senior Services

Why are you interested in serving on the Board of Directors of VANTAGE Aging? *

Please list any other relevant information:

Upload your Resume *

Click or drag a file to this area to upload.

Date / Time

388 S Main Street, Suite 325
Akron, OH 44311
(330) 253-4597
info@vantageaging.org

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