3
c:\users\chamber-new\documents\membership\board application form.doc Warwick Valley Chamber of Commerce P.O. Box 202 Warwick, NY 10990 www.warwickcc.org MISSION STATEMENT The WVCC’s objective is to foster cooperative action in advancing the civic, commercial, industrial, professional, and common interests of the organization’s members in the Town of Warwick, Orange County, and surrounding areas. CONTACT INFO Last Name______________________________________________ First Name______________________________________________ Company_______________________________________________ Address________________________________________________ Position________________________________________________ Type of Business_________________________________________ Day Phone______________________________________________ Fax____________________________________________________ Email__________________________________________________ EMPLOYMENTS (start with current & go in reverse chronological order) Employer________________________ City____________ ST____ Title_____________________ Responsibility____________________ Employer________________________ City____________ ST____ Title_____________________ Responsibility____________________ Employer________________________ City____________ ST____

Board application 2015

Embed Size (px)

DESCRIPTION

 

Citation preview

  • c:\users\chamber-new\documents\membership\board application form.doc

    Warwick Valley Chamber of Commerce P.O. Box 202

    Warwick, NY 10990 www.warwickcc.org

    MISSION STATEMENT

    The WVCCs objective is to foster cooperative action in advancing the civic, commercial, industrial, professional, and common interests of the

    organizations members in the Town of Warwick, Orange County, and surrounding areas.

    CONTACT INFO Last Name______________________________________________

    First Name______________________________________________

    Company_______________________________________________

    Address________________________________________________

    Position________________________________________________

    Type of Business_________________________________________

    Day Phone______________________________________________

    Fax____________________________________________________

    Email__________________________________________________

    EMPLOYMENTS (start with current & go in reverse chronological

    order)

    Employer________________________ City____________ ST____

    Title_____________________ Responsibility____________________

    Employer________________________ City____________ ST____ Title_____________________ Responsibility____________________

    Employer________________________ City____________ ST____

  • c:\users\chamber-new\documents\membership\board application form.doc

    Title_____________________ Responsibility____________________

    Please list your Industry experience: ________________________________________________________

    ________________________________________________________

    ________________________________________________________

    __________________________________________________________________________________________________________________________

    ______________________________________________

    Please list your Skills & Talents:

    _____________________________________________________________

    _____________________________________________________________

    __________________________________________________________________________________________________________________________

    ____________________________________

    ________________________________________________________

    Please list any other organizations you currently belong to; along

    with your Role and Position:

    _____________________________________________________________

    __________________________________________________________________________________________________________________________

    _____________________________________________________________

    ____________________________________

    ________________________________________________________

    Briefly outline your community service and volunteer activities:

    _____________________________________________________________

    __________________________________________________________________________________________________________________________

    _____________________________________________________________

    ____________________________________

    ________________________________________________________

    What has been you most rewarding volunteer experience, and why?

    __________________________________________________________________________________________________________________________

    _____________________________________________________________

  • c:\users\chamber-new\documents\membership\board application form.doc

    _____________________________________________________________

    ____________________________________

    ________________________________________________________

    The Five Simple Responsibilities of WVCC Directors:

    1-Attend 60% of scheduled Board meetings. Come prepared to discuss the

    items on the agenda.

    2-Attend at least five (5) Chamber sponsored events.

    3-Serve a three (3) year term.

    4-Serve as an ambassador for the Chamber interpreting the mission of the

    organization, while representing it to your constituencies and spheres of

    influence.

    5-Chair a committee and/or serve on a committee that interests you and will utilize your expertise or those of your business associates.

    Applications are to be submitted to the WVCC Nomination Committee by the first of each month. You may mail to: WVCC Nomination Committee, PO

    Box 202, Warwick, NY, 10990.

    Signature_________________________________ Date__________

    To apply, please send a written request on company letterhead to the Board of Directors Nomination

    Committee for consideration. Please call 845-986-2720 or email: [email protected] with any questions.