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 DevelopmentPublic Affairs How did you hear about this position? We sincerely appreciate your interest. Thank you.
Describe any other community group(s) or organization(s) in which you have participated. Please describe your role in each.
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 DevelopmentPublic Affairs
We sincerely appreciate your interest. Thank you.
The Polly Klaas® Foundation Making America Safe for All Children PO Box 800 Petaluma, CA 94953 Phone: 800-587-4357 Fax: 707-769-4019 E-mail: info@pollyklaas.org