First Name:
Last Name:
Address:
Place of Work:
Phone (home):
Phone (work):
Email Address (home):
Email Address (work):
Fax (home):
Fax (work):
Preferred method of contact:
Email Telephone Mail
Work Home
OCRCC Involvement:
Other Organizational Affiliations/Memberships:
Skills and areas of interest that will benefit the OCRCC:
advocacy experience business experience criminal justice experience government experience legal experience mental health/medicine experience accounting fundraising human resources marketing/PR/communications mediation/dispute resolution multicultural/diversity experience
Other skills/areas of interest:
Strategic Planning Diversity Finance Development Nominating Personnel
Why are you interested in becoming a member of the OCRCC Board of Directors or serving on one or more of its committees?