Board & Committee Interest

Name*
First Last
Job Title*
Board Position*
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Home Address*
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Cell Phone*
Personal Email*
Work Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Work Phone*
Work Email*
Please indicate your interest in serving on a Habitat committee (check all that apply)*
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- Nominating
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Child(ren) name(s) (Optional)
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Alumni Information (Optional)
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Briefly share why you are interested in joining Habitat's board/committee.*
Phone
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Yakima Valley Partners Habitat for Humanity® is a tax-exempt 501(C) (3) nonprofit organization. Your gift is tax-deductible as allowed to the full extent of the law. All rights reserved. “Yakima Valley Partners Habitat for Humanity®” is a registered service mark owned by Habitat for Humanity International. Habitat® is a service mark of Habitat for Humanity International. © 2019 Habitat for Humanity® International.

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