Junior Board Nominations | Arc of Shelby County

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.

Nominated By(Required)

Name of nominator

Name(Required)

First and Last Name

Address(Required)

Address

City, State, Zip(Required)

City, State, Zip

Date of Birth

Home Phone(Required)

Home phone number

Mobile Phone

Mobile Phone Number

Employer(Required)

Employer

Office Phone

Office phone number

E-mail(Required)

E-mail address

College Attended

College attended

Hobbies(Required)

List any hobbies or activities

Affiliations with Other Organizations(Required)

List any other service on boards or junior boards or volunteer experience

Known Affiliation with Current Board Members(Required)

Is nominee affiliated with any current board members

Qualifications(Required)

Why would the candidate be a good addition to The Arc of Shelby County's Junior Board?

Areas of Interest(Required)

List any particular Arc of Shelby program, service, or event that may be of particular interest to candidate.