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Home
About Successteam
Mission, Vision & Our Principles
Our Board
Our History
Our Sponsors
Our Partners
Our Programs
Leadership Academy for Young Men
Leadership Academy for Young Women
Back to School Bookbag Drive
Successteam Youth Council
Night of Champions
Ways To Support
Become A Board Member
Become a Volunteer
Donate
Give Corporate Sponsorship
Contact
DONATE
Home
About Successteam
Mission, Vision & Our Principles
Our Board
Our History
Our Sponsors
Our Partners
Our Programs
Leadership Academy for Young Men
Leadership Academy for Young Women
Back to School Bookbag Drive
Successteam Youth Council
Night of Champions
Ways To Support
Become A Board Member
Become a Volunteer
Donate
Give Corporate Sponsorship
Contact
Home
About Successteam
Mission, Vision & Our Principles
Our Board
Our History
Our Sponsors
Our Partners
Our Programs
Leadership Academy for Young Men
Leadership Academy for Young Women
Back to School Bookbag Drive
Successteam Youth Council
Night of Champions
Ways To Support
Become A Board Member
Become a Volunteer
Donate
Give Corporate Sponsorship
Contact
DONATE
2022 Board Application
Name
*
First
Last
Phone Number
*
Email
*
Mailing Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
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
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Birthdate
*
MM slash DD slash YYYY
Shirt Size
*
Small
Medium
Large
XL
2XL
3XL
4XL
Current Title/Position/Occupation
*
Current Employer
*
If Retired, Please List Previous Employer
Successteam Board Meetings are hosted (at least) once a month, are you able to accommodate?
*
Yes
No
Do You have experience in volunteerism or community outreach?
*
Yes
No
Do You have a Passion for Youth Development? (Yes/No)
*
Yes
No
Please identify your race, ethnic, and cultural background
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Hispanic or Latino
Not-Hispanic or Latino
Professional Affiliations (i.e Fraternities, Sororities, Civic Orgs, etc.)
List Any Other Boards in which You Serve Currently
In 2 – 5 sentences, please detail why you are interested in joining the Successteam Board?
*
List Any Notable Skills That You Would Bring To The Board
How’d You Hear About Us?
Phone
This field is for validation purposes and should be left unchanged.
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