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Board Candidate Application

First Name *

Last Name *

Street Address *

Email *

Phone *

Education *

Years in The Landings *

Full-Time Resident? *

If no, how many months per year are you here? *

Professional Background *

Present and Past Affiliations: List below specific names of organizations/committees and describe your service or leadership role(s):

The Landings Association

Other Landings Organizations

Civic, Social, and Community Service

Other Information You Wish To Share

Agree *

I Agree to Board Member Code of Conduct

Date Submitted *