Junior Board Nomination Form

Please complete the information below and submit to nominate someone for consideration for The Arc of Shelby County's Junior Board.

Name of nominator
First and Last Name
City, State, Zip
Home phone number
Mobile Phone Number
Office phone number
E-mail address
College attended
List any hobbies or activities
List any other service on boards or junior boards or volunteer experience
Is nominee affiliated with any current board members
Why would the candidate be a good addition to The Arc of Shelby County's Junior Board?
List any particular Arc of Shelby program, service, or event that may be of particular interest to candidate.