BioForm

Newtown Scholarship Association Board Member Bio Form

OTHER INFORMATION YOU WOULD LIKE INCLUDED:

PREVIOUS PLACE OF EMPLOYMENT, YOUR TITLE, and WHAT YOU WERE RESPONSIBLE FOR ("responsible for" is optional):

CURRENT PLACE OF EMPLOYMENT (or retired from), YOUR TITLE, and WHAT YOU ARE (or were) RESPONSIBLE FOR ("responsible for" is optional):

YEAR YOU JOINED NSA BOARD:

SPECIAL AWARDS/CERTIFICATES:

PREVIOUS PLACE OF EMPLOYMENT, YOUR TITLE, and WHAT YOU WERE RESPONSIBLE FOR ("responsible for" is optional):

NAME: *

I HAVE BEEN A MEMBER OF THE FOLLOWING LOCAL CIVIC GROUPS AND/OR NATIONAL ASSOCIATIONS:

I HAVE SERVED ON THE FOLLOWING OTHER NONPROFIT OR CORPORATE BOARDS:

EDUCATION (include institution name[s] and degree[s]):