Board of Directors Membership Application

Name:

Address:

City:

ZIP Code:

Birth Date:

Education:

Mailing Address

City:

Zip Code:

Work Phone:

Home Phone:

Cell Phone:

Email:

Why are you interested in being on TIP of San Diego, Inc. Board?

Have you or anyone you know had any personal experience with the TIP Volunteers?

What skills, abilities, or talents do you feel you can contribute to the Board of Directors?

Do you have any special interests or hobbies?

Please describe if you have ever experienced a traumatic event in your life

List any prior Board Member/Volunteer experience

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