Board of Trustees Application

First Name *

Last Name *

Title *

Employer *

Work Address

Address Line 1 *

Address Line 2

City *

Zip/Postal Code *

Work Phone *

Home Address

Address Line 1 *

Address Line 2

City *

Zip/Postal Code *

Mobile Phone *

Email *

Submit your LinkedIn Profile link and/or upload your resume below (optional).

Document upload

Which of the following committee(s) would you be interested in serving on and/or chairing? *

Ambassador Committee Government Affairs Committee Leadership New Albany Committee Programming Committee Community Events Committee New Albany Young Professionals Finance Committee

Why are you interested in serving as a trustee? *