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2024 Board/Committee Member

Please complete this form for all Board or Committee Member positions held during the current year.

  • Please complete a separate form for each Board or Committee you served on.

If you have any questions while completing this form please contact Anna DiDomenico.

Employee Information

Organization Information

If purpose/mission statement is not on website, type purpose/mission statement in box above and upload documentation supporting purpose/mission statement.
If the organization provides services that benefit low to moderate income individuals but it is not clear in the purpose/mission statement, please upload supporting documentation to evidence the benefit to low to moderate income individuals.

Important Notice

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