Board of Directors Application – Pennsylvania Emergency Response Center Inc.

Name *

First

Last

Email *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Current Employer *

Current Occupation *

Background

We want to understand your views on current operations and how your potential contributions might fit with the organization’s vision. Please answer the following questions. Limit your response to this page/the space provided. Address and contact information will not be distributed. Please also send your résumé or CV to trevor@pennerc.org

Please briefly describe your academic and professional background and other relevant experience. *

Please briefly outline the specific skills you bring or contributions you hope to make, to this board. *

Are you currently serving on a board of directors for another organization? *

Yes
No

If so, please list the organization name and your position/role.

What is your preferred method of contact/communication? *

Phone
Email
Text Message

Resume / CV

Click or drag a file to this area to upload.

PDF, doc, and docx only. If you have a Web Based Resume, please provide the URL in the next field

Resume / CV Link