VIP Application

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Phone

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Which session are you applying for?*

Which year are you applying for?*

Name*

First Last

Email*

Cell Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Number of years residing in Atlanta*

Please enter a number from 1 to 99.

Year of Birth*

Ethnicity*

How did you hear about VIP?*

Referred by name*

Current Employer*

Job Title*

Industry*

Please enter your last 3 employers, starting with most recent. Include company name, position and years employed.*

College*

Year Completed College*

College Degree/Major*

Graduate School*

Year Completed Graduate School*

Graduate School Degree/Major*

Please list any professional affiliations and/or honors you have received.*

Please list the organizations (nonprofit, civic, business, faith-based and social) with which you have been involved the past five years (including as a board member). Include the organization's name, position/ role and years of service in your description.*

Describe your responsibility and leadership role in what you consider to be the most important or valuable volunteer (non-paid) experience. How have your efforts affected or changed the community?*

Commitment - Describe your interest in becoming a VIP Participant*

Briefly discuss your ability to commit to some of the main responsibilities of board members: (1) Set strategic direction for the organization; (2) Ensure resources required (human and financial) to implement strategy; (3) Recruit, retain, evaluate and, if necessary, terminate Executive Director; (4) Provide good stewardship of resources*

VIP Application

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