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Home
Shop
About Successteam
Mission, Vision & Our Principles
Meet the Team
Our History
Our Sponsors
Our Partners
Our Programs
Big Brother
Back to School Bookbag Drive
PYD Academic Scholarship
College Bound: The College Tours
Adopt-A-College
Successteam Youth Council
Night of Champions
Ways To Support
Become A Board Member
Become a Volunteer
Donate
Give Corporate Sponsorship
Contact
DONATE
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2022 Board Application
Name
*
First
Last
Phone Number
*
Email
*
Mailing Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
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District of Columbia
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Hawaii
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Maine
Maryland
Massachusetts
Michigan
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Mississippi
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New Hampshire
New Jersey
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Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
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Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
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Armed Forces Americas
Armed Forces Europe
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State
ZIP Code
Birthdate
*
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Shirt Size
*
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Medium
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2XL
3XL
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Current Title/Position/Occupation
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Current Employer
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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
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