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Drive
Social
OATAG Board Application
Please complete this form to be considered for membership on the Board of OATAG
*
Indicates required field
*
Indicates required field
Name
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First
Last
Birth date (mm/dd/yyyy)
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Email
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Phone Number - Cell phone preferred
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Please describe your experience with gifted children/youth and/or gifted education. In lieu of completing this field, you may submit your resume/CV below.
Experience
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Please describe your strengths and potential contributions you feel you can make toward effecting Board initiatives. (for example special skills, such as communication, leadership, organization, advocacy, graphic design, computer/website, accounting, fund-raising; business partnerships and/or sponsorships for scholarships, event or meeting venues, etc.)
Strenghs
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Please describe any potential conflicts of interest. If none, please write "none."
Conflicts
*
Please attach your resume, CV, Letters of reference, etc. as desired.
Attachments
*
Max file size: 20MB
Are you currently the subject of an ongoing investigation related to a report of suspected child abuse or sexual conduct involving a minor child?
Criminal Behavior
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No
Yes
Have you ever been convicted of any form of abuse, assault, battery, harassment, intimidation, neglect, stalking or other threatening behavior toward a child or children?
Criminal History
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No
Yes
Please use this field to tell us anything else you want to about yourself or to explain any of the fields above.
Notes
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By submitting this application, you agree to the terms and conditions of board membership.
Waiver
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I Agree
I Do Not Agree
Application Date (mm/dd/yyyy)
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Submit
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