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Board of Directors Membership Application

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  * Indicates Required Field   Printable Application
* Name:    
* Address:    
* City: * Zip Code:
* Birth Date:    
* Education:
Mailing Address:
(If different than above)
City: Zip Code:
Work Phone: Home Phone:
Cell Phone: Fax:
* 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:  
* Please enter the characters exactly as they appear
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