Dynasite Demo Account

Board Membership Application

Complete the form below to apply for board membership.
Name

First Name Last Name
E-mail
Phone Number:

- Area Code Phone Number

Address:

Birth Date:

Month Day Year
Where did you hear about us?

A Friend or colleauge Google Blog Post News Article
Board Membership Application Rules
Applicant Requirements

1. Applicants must be at least 18 years of age or older and have never been arrested and/or convicted of any misdemeanor or felony crime.

2. Applicants must agree to a criminal background check by the organization.

3. Applicants must attend at least 50% of the annual board meetings and a minimum of one community event per year.
I have read, understood, and accepted the rules for membership.
Once you submit your application, we will contact you shortly to complete your membership application.

Thank you!
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Board Membership Application