Volunteer Applicaton
Please choose which area you are interested in:
Board of Directors
Supervisory Committee
Method:
Nomination
Petition
First Name
*
check
warning
Last Name
*
check
warning
Social Security Number
*
check
warning
Street Address
*
check
warning
City
*
check
warning
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
US Virgin Islands
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
check
warning
Postal ZIP Code
*
check
warning
Email Address
*
check
warning
Mobile Phone Number
*
check
warning
Best time, day of week and method to reach you
*
check
warning
How long have you been a member of MCCU?
*
check
warning
Volunteer Application - continued
Name and Address of Employer (if retired, last employer)
*
check
warning
Special Skills
Check all that apply:
Fund-raising/Development
Personnel/Human Resource
Finance/Accounting
Business Management
Marketing/Public Relations
Information Technology
Privacy Security
Legal
Legislative
Other (please describe these details below)
Other details
*
check
warning
Volunteer Application - continued
Professional Skills
Check all that apply:
For-profit Business
Non-profit
Government
Other (please describe these details below)
Other details
*
check
warning
Affiliation and current membership in business or professional organizations (past & present)
*
check
warning
Volunteer Application - continued
Do you have any concurrent obligations /responsibilities, which could be construed as a conflict of interest? If so, what are they?
Please describe
*
check
warning
Personal Statement/Experience/Objectives: (Not to exceed 250 words in its entirety)*
Please describe
*
check
warning
Upload file If you prefer
Click or drag & drop file here to upload
Uploading document...
Thank You for your Volunteer Application