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2026 MiRC Board Member Application
(All Fields Are Mandatory)
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Please provide your Name
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/250
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Please provide your Company Name
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Please provide your Job Title
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Please provide your office City/State
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Please provide your Email Address
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Phone (Cell)
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Short Bio and/or LinkedIn Profile URL
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/500
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Please list Board and/or Committee Roles you hold now or have held in the past.
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Will you be volunteering on any other Boards in 2026 and if so, please list the organization/s and when your term/s expire.
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What strengths would you bring to the Board? Be specific if you have a certain desired area you would like to Chair.
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Please tell us your experience in the past or presently with any systems/applications used for volunteer councils or groups.
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Please identify your interest in open Board roles for 2026:
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If voted in to be a Board Member, please acknowledge the following statements by checking all boxes.
I understand the time commitment needed for a 3-year board term.
I have support of my employer to take on this responsibility.
I understand the expectation I will be available for calls and meetings throughout the 3-year term.
I agree that this is a volunteer unpaid position.
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