JCYC Board of Directors Application Interested in joining our Board? Complete the following application and we will be in touch! Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Primary Phone # * (###) ### #### What phone number is this? * Home Work Cell Email * Why are you interested in serving on the JCYC Board? * What skills/area of expertise would you bring to the JCYC Board? * Please provide us with three (3) personal or professional references. Reference #1 * First Name Last Name Primary Phone # * (###) ### #### Email * Relationship * Reference #2 * First Name Last Name Primary Phone # * (###) ### #### Email * Relationship * Reference #3 * First Name Last Name Primary Phone # * (###) ### #### Email * Relationship * Thank you for submitting a JCYC Board Application. We will review and contact you within the next 30 days. Sincerely,The JCYC Board of Directors
