Broomfield Area Chamber - Board Of Directors Application Name * Address Address Line 1 * Address Line 2 City * State * Select option... Alabama Alaska Arizona Arkansas California Colorado Connecticut DC Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming DC Zip/Postal Code * Company/Employer * Occupation/Title * Best Phone Number * Email Address * How many employees are in your company? * Are you currently a Broomfield Area Chamber member? * Yes No If yes, for how long? Please describe your current level of involvement with the Broomfield Area Chamber. * Other leadership or community volunteer efforts * What education or skills can you contribute to the Chamber as a member of the Board? (Please check all that apply.) * Leadership Public Relations Marketing Planning/Visioning Please tell us why you are interested in serving on the Broomfield Area Chamber Board, and how you feel you can make a difference for the organization and its members. * Please list the names and contact information for three (3) references we may contact: * Statement: "By checking 'YES' below, I affirm that I am applying for a position on the Broomfield Area Chamber Board of Directors and, if elected, I can fulfill the duties of the position." * Yes
