EUREKA SYMPHONY BOARD MEMBER/VOLUNTEER INFORMATION FORM Please complete the following information about your background and interest in serving as a Member of the Eureka Symphony Board of Directors or in other volunteer positions. You can send the form by mail to ES Board Development Committee, P. O. Box 776, Bayside, CA 95524-20776 or email it to: Susan Hansen, hansensu@suddenlink.net. Name: Home Phone: Address: Home email: Home Fax: Business Name: Business Address: Business phone: Business Fax: Business Email: May we contact you at work? ___Yes ___No If you have prior non-profit board experience, please list the organizations and your role with each board(s). In what other charitable, community, volunteer or professional activities have you been involved? Please give us a brief overview of your work background. Please tell us about your interest in working with the Eureka Symphony? What roles are you interested in playing? Please check any of the following in which you’ve had experience and/or training that could support the Symphony: ____Community Relations/Public Relations ____Marketing ____Fund-Raising ____Information Technology/Computer/Web Applications ____Organizational/Strategic Planning ____Public Speaking ____Education ____Publicity ____Business/Budget Management/Accounting ____Knowledge of Musical Performance ____Grant Writing ____Other The Eureka Symphony Board meets the 3rd Thursday of the month from 5:15 pm to 7:00 pm and has working committees, subcommittees and occasional projects. We also assist at the Symphony performances.

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