Full name
Email
Address
City
State
Postal Code
Phone
Work phone
Please answer the following questions:
What is your occupation?
Summary of work experience
Educational background
Why do you wish to serve on the Board of Directors of the Polly Klaas® Foundation?
What expertise/skills would you bring to the Board?
Describe any other community group(s) or organization(s) in which you have participated. Please describe your role in each.
Do you have any knowledge, experience or direct involvement with organizations involved in child safety issues?
All Board members sit on a committee. Please indicate your interest for committee assignment for the following committees.  (1 - highest interest, 3 - least interest.)
Personnel  Finance  Fund Development  Board Development Public Affairs
How did you hear about this position?
We sincerely appreciate your interest. Thank you.