ࡱ> ceb% &bjbj%% ,6GGPll4p p p 8 4 \4azD X n n n n ^Bt$ !Qn n n n (n n $*:,`n 8 T4<p ( `D10a2."4"`&Name:  FORMTEXT      Home Telephone: FORMTEXT      Address: FORMTEXT      Occupation  FORMTEXT      Work Telephone: FORMTEXT      E-mail: FORMTEXT      Please check the talents and skills you would contribute. FORMCHECKBOX technology  FORMCHECKBOX marketing  FORMCHECKBOX management  FORMCHECKBOX legal FORMCHECKBOX accounting  FORMCHECKBOX investment  FORMCHECKBOX fund raising FORMCHECKBOX planning  FORMCHECKBOX education  FORMCHECKBOX community relations FORMCHECKBOX knowledge of service  FORMCHECKBOX volunteer at organization  FORMCHECKBOX public speaking  FORMCHECKBOX advocacyOn what other boards have you served? FORMTEXT      In what other charitable or community activities have you participated? FORMTEXT      What is your purpose in volunteering for board service? FORMTEXT      What is your interest or connection to  DOCPROPERTY "Client" \* MERGEFORMAT Your Organization Here? FORMTEXT      What is your understanding of  DOCPROPERTY "Client" \* MERGEFORMAT Your Organization Here s mission? FORMTEXT      Will you regularly attend board meetings? FORMCHECKBOX yes FORMCHECKBOX noDo you have time to contribute to  DOCPROPERTY "Client" \* MERGEFORMAT Your Organization Here? FORMCHECKBOX yes FORMCHECKBOX noWe ask the board to make an annual financial gift to  DOCPROPERTY "Client" \* MERGEFORMAT Your Organization Here. Will you make one? FORMCHECKBOX yes FORMCHECKBOX no FORMTEXT      Applicant's SignatureDate  DOCPROPERTY "Client" \* Upper \* MERGEFORMAT YOUR ORGANIZATION HERE Board of Directors Application $&(246XZnpr|~ "68:DFHZ\pjP>*B*U\phj>*B*U\phj>*B*U\ph5CJjz>*B*U\ph#j>*B*U\mHnHphuj>*B*U\ph>*B*\phj>*B*U\ph 5>*CJ+68Xcx[,$If$$Ifl4r%'-E6#4 la $$Ifa$$If $$Ifa$L$ H $,$Ifa$,$If,$IfJ$$Ifl40'O6#4 laHJZ{tsk,$If,$If$$Ifl4r'QE6#4 laprt~*+,67EFGRSabcijxyzÿyl_jB*UphjB*Uphj6B*UphjB*UphjNB*UphjB*Uph B*phjB*UphCJ5CJ 5CJ\>*B*\ph#j>*B*U\mHnHphuj>*B*U\phjT>*B*U\ph%vh26$$Ifl'64 la  & F<<$If8$$Ifl'64 la$IfJ$$Ifl40'|6#4 la6Ri?jq$$Ifl\ '64 la <<$If()*?@NOPjkyz{|5CJ5B*CJphj B*UphjP B*Uphj B*Uphjd B*Uphj B*Uphjz B*Uphj B*UphjB*Uph B*phjB*Uph.< > f h 6 8 T{$T{T{T8$$Ifl'64 la<$If6$$Ifl'64 la  & F<<$If  > @ T V X b d f h   0 2 8 : N P R \ ^ ` b   4 6 J L N X Z \ սհʧʧʧ՚ʧʧʧՍjB*UphjB*Uphj5CJUjB*Uphj B*Uph5CJ B*CJph B*phjB*UmHnHphujB*Uphj< B*Uph58 ` b 2 4 \ ^  yTqP<$If6$$Ifl'64 la  & F<<$If8$$Ifl'64 la <<$If \ ^  % & K L b c e f t u v z {     & ' ( , - ; < = @ A C 鞑鞄|5CJmH sH jB*UphjB*UphB*mH phsH jB*UphjB*Uphj5CJUj,B*UphjB*Uph B*phjB*Uph5CJ5B*CJph0  e z 0-^$$Ifl;FM '~ 6    4 la <<$If  & F<<$If\$$IflFM '~ 6    4 la  , @ A B C \x<$If $<$Ifa$\$$IflFM '~ 6    4 la <<$If  & F<<$IfC D N O   JLNP $&CJ5CJ$OJPJQJ\^JaJ5CJ$OJQJ]^J#j5CJ$OJPJQJU\^J5CJ$OJPJQJ\^JCJjB*UmHnHphujzB*UphB*mH phsH jB*Uph<>HJLt;9]$$Ifl4F~' 6    4 la$If_$$Ifl4F~' 6    4 laLN "$&F$$IfTl0,8 " $64 la $$Ifa$$If* 00&PP/ =!8"8#$%zDNameNamejD HomeTelephone ###-###-####CYour 10 digit telephone number. The first three are your area code.$Home Telephone with area code first.DAddress1Your home address. A street address, no PO Boxes.D Occupation OccupationD WorkTelephone(Your work telephone including area code.10 digit work telephone.DEmailuAn e-mail address that is checked regularly and can be used for board communication which is sometimes confidential. Your e-mail address.tDeCheck5tDeCheck6tDeCheck7tDeCheck4tDeCheck1tDeCheck2tDeCheck3tDeCheck8tDeCheck9vDeCheck10vDeCheck11vDeCheck12vDeCheck13vDeCheck14D Otherboards%On what other boards have you served?DOtheractivitiesGIn what other charitable or community activities have you participated?DPurpose7What is your purpose in volunteering for board service?D MALTinterest,What is your interest or connection to MALT?D MALTmission-What is your understanding of MALT s mission?vDeCheck15vDeCheck16vDeCheck15vDeCheck16vDeCheck15vDeCheck16DText12 MMMM d, yyyyDate completed. i@@@ Normal1$7$8$H$_HaJmH sH tH DD Heading 1$$ @&a$ 5>*CJ<@< Heading 2$$@&a$ >*CJ\<A@< Default Paragraph Font0B@0 Body TextdCJ,@, Header  !, @, Footer  !FC"F Body Text Indentd`CJDZ@2D Plain Text1$7$8$H$OJQJ^JaJZRBZ Body Text Indent 2# @  d^ `VSRV Body Text Indent 3  `d^``6z,@AJ^_k6Ri?j*+?@xy  st?Thi12HINOPQ00000000000000000000 00000000000000000 0000 0000 0000 0000 0000 0000 0000 000000000000000000kkkkknp\ C & H8  L& $ ,8>JV\kw}+6FRbiy)?Ojz+7=y)Oft%<?OTd)/FFFFFFG G G G G G G G G G G G G G FFFUFUFG$G$UG$G$UG$G$F0GnU4Name HomeTelephoneAddress Occupation WorkTelephoneEmailCheck5Check6Check7Check4Check1Check2Check3Check8Check9Check10Check11Check12Check13Check14 OtherboardsOtheractivitiesPurpose MALTinterest MALTmissionCheck15Check16Text12-Kl7Sj@k,zu ?]~,Gcz*P{> 0P,5GQchz*3PY{PSegiP::::::::::::::::::iPDanielle D. Taylor4F:\Board of Directors\Nom Comm\Board Application.docDanielle D. Taylor4F:\Board of Directors\Nom Comm\Board Application.docDanielle D. Taylor4F:\Board of Directors\Nom Comm\Board Application.docDanielle D. Taylor4F:\Board of Directors\Nom Comm\Board Application.docDanielle D. Taylor4F:\Board of Directors\Nom Comm\Board Application.docDanielle D. Taylor4F:\Board of Directors\Nom Comm\Board Application.docDanielle D. Taylor4F:\Board of Directors\Nom Comm\Board Application.docDanielle D. Taylor4F:\Board of Directors\Nom Comm\Board Application.docDanielle D. TaylornC:\WINDOWS\Profiles\danielle taylor\Application Data\Microsoft\Word\AutoRecovery save of Board Application.asdDanielle D. Taylor9F:\taylortraining.com\htdocs\jobaids\BoardApplication.dot(k*f.^ h ^`OJQJo(h ^`OJQJo(oh pp^p`OJQJo(h @ @ ^@ `OJQJo(h ^`OJQJo(oh ^`OJQJo(h ^`OJQJo(h ^`OJQJo(oh PP^P`OJQJo(hh^h`o(.(k*.^         ,@AJ^_ki*+?@xy  st?Thi12HINOPQ@&L*`` @`` `@`UnknownGz Times New Roman5Symbol3& z ArialG  MS Mincho-3 fg?5 z Courier New;Wingdings"AhJfJfif3#xx>d 2Q%Application to the Board of DirectorsDanielle D. TaylorDanielle D. TaylorOh+'0A  0 LX t   &Application to the Board of Directorst pplDanielle D. TaylorBani This form has been designed to be completed on the computer. Once completed, it can be returned electronically via e-mail without a signature or printed, signed and faxed or mailed. Check with your nominating committee contact to see which method is acceptable.tNormalrDanielle D. Taylord2niMicrosoft Word 9.0d@F#@d@H@HGH>VT$m   v&WordMicrosoft Word  "Systemf &-j@"Arial? ؟ww wf-  2 U 0S,2 + YOUR ORGANIZATION HEREdull*ulwjl*^i\*ul*ldld 2 +. 0*2  Board of \l\S:\*\2*2  Directors\l*:SS2\:S 2  0Tj@"ArialH z ؟ww wf-2  Applicationj]\**SS2*\\- 2  0S@Times New Roman؟ww wf- 2 1 '@Times New Roman؟ww wf-2 Name: E0O+  2  0@Times New Roman؟ww wf-  2 ~7  2 ~7  2 2 ~7  2 ~7  2 2 ~ 7  2 ~ 7  2 2 ~>7  2 ~>7  2 2 ~p7  2 ~p7  2 2 ~7  2 - 2 r 7  0"2 P  Q Home Telephone:0K0O+@++5505+ 2 '  Q  0-  2 ~JQ 7 2 ~JQ 7 2 2 ~|Q 7 2 ~|Q 7 2 2 ~Q 7 2 ~Q 7 2 2 ~Q 7 2 ~Q 7 2 2 ~Q 7 2 ~Q 7 2 2 ~DQ 7 2 -2 s\Address:E55++%% 2 s1\ 0-  2 mO \7 2 mO \7 2 2 m \7 2 m \7 2 2 m \7 2 m \7 2 2 m \7 2 m \7 2 2 m \7 2 m \7 2 2 mI \7 2 - !N-- !\-- !`-- !Q --2 g Occupation K++550 05 2 g /-  2 a7  2 a7  2 2 a97  2 a97  2 2 ak7  2 ak7  2 2 a7  2 a7  2 2 a7  2 a7  2 2 a7  2 - 2 gg 7  0"2 gU  Q Work Telephone:0`0+4@++5505+ 2 g'  Q  /-  2 aJQ 7 2 aJQ 7 2 2 a|Q 7 2 a|Q 7 2 2 aQ 7 2 aQ 7 2 2 aQ 7 2 aQ 7 2 2 aQ 7 2 aQ 7 2 2 aDQ 7 2 - !p\-- !-- !g-- !7 -- !m; -- ! -- ! -- !Q -- !U -- 2 \6E@ 2 \6- 2 \"6mail:O0 2 \6 0-  2 V< 67 2 V< 67 2 2 Vn 67 2 Vn 67 2 2 V 67 2 V 67 2 2 V 67 2 V 67 2 2 V 67 2 V 67 2 2 V6 67 2 - !k-- !Q -- 2 T 0- !6-2 `T1.0 2 ` T .Na2 `X9TPlease check the talents and skills you would contribute.;+0$++5*+4 5+ 0+5 %055&4%005F055+04 +55 + 2 `M T ./T' @Times New Roman؟ww wf-'- - W --  ' - 2 " technology%%))*+*( 2  &  '- - --  ' - 2 " marketingy@%)%*) 2 s &  '- - { - --  ' - 2 & " management@%)&)&@&) 2 &  &  '- -   --  ' - 2 "legal%)% 2  +    '- - JR--  ' - 2 KS  accounting%%%*))*) 2 K  &    '- - 2 J--  ' - 2 S  investment))& @&) 2   &    '- -  Jv --  ' - 2 o S  fund raising*)*% )) 2 o   +  $ $ '- - z R, --  ' - 2 K  $planning*%))*) 2 K  $ &  $ $ '- - 2 z , --  ' - 2   $educationt%*)%%*) 2   $ &  $ $ '- -  z v , --  ' - (2 o  $community relations%*@@**(%&*) 2 o 1  $ +  T$T$'- - W ]--  ' - )2 $Tknowledge of service))+;%+)%* %)%% 2 |$T &  T$T$'- - ]--  ' - 12 $Tvolunteer at organization2)**)%%%*)%)%&*) 2 $T &  T$T$'- - { - ]--  ' - "2 & $Tpublic speaking0*)*% *%%))) 2 & $T &  T$T$'- -   ]--  ' - 2 $Tadvocacy%*)*%%&( 2 $T + -2 N T2.0 2 N T .NC2 N X%TOn what other boards have you served?:K5F50 0 5*+500+5%500+005%++/+50 2 N T .0T'-  2 O T 2 O T .* 2 O T 2 O T .* 2 O T 2 O T .* 2 O @T 2 O @T .) 2 O iT 2 O iT .* 2 O T .) -2 , T3.0 2 , T .Nv2 , XGTIn what other charitable or community activities have you participated?%5F50 0 5+++5/+ 05+0++0OO55 00+ 0 +%500+00550+ *50 +50 2 , T ./T'-  2 . 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T .) -2 T4.0 2  T .N^2 X7TWhat is your purpose in volunteering for board service?`50 %005+55+50%+50055 ++*50!0+50/+5%++0++0 2 V T ./T'-  2 T 2 T .* 2 T 2 T .* 2 T 2 T .* 2 @T 2 @T .) 2 iT 2 iT .* 2 T .) -2 T5.0 2  T .NF2 X'TWhat is your interest or connection to `50 %005+5 *++% 0++055++ 05 0,2 TYour Organization HereE05+K+0/5*0 05K+*+ 2 m T?.0 2  T ./T'-  2 T 2 T .* 2 T 2 T .* 2 T 2 T .* 2 @T 2 @T .) 2 iT 2 iT .* 2 T .) -2 T6.0 2  T .N2 X TWhat is yt`50 %0+2 Tour understanding of 05+555++% 055500!,2 ZTYour Organization HereE05+K+005*0 05K+*+2 H Ts mission?g %O%%050 2  T .0T'-  2 T 2 T .* 2 T 2 T .* 2 T 2 T .* 2 @T 2 @T .) 2 iT 2 iT .* 2 T .) -2 J 7.0 2  J  .NI2 X)J Will you regularly attend board meetings?`005++05/+00 +45500+5O++ 50%0 2 " J  .0J ' NJ -NJ '- -    --  ' - 2  J Nyes)% 2 H J N +  TNTN'- -  --  ' - 2 NTno)* 2 1NT o* -2 NJ 8.0 2 N J  .N>2 NX"J Do you have time to contribute to E0005500+ O+ 0+05+55 + 0,2 NJ Your Organization HereE05+K+005*/ 05K*++ 2 N J ?.0 2 N J  ./J ' NJ -NJ '- -  f --  ' - 2 _ J Nyes)% 2 _H J N +  TNTN'- - f--  ' - 2 _NTno)* 2 _1NT o* -2 J 9.0 2  J  .N:2 XJ We ask the board to make an ann`+0%4 5+500+5 0O14+05065,2 J ual financial gift to 50!505+00!  02  J Your E05+J '%2 iXJ Organization HereK+005*0 05J+*+)2 iZJ . Will you make one?`005O14+05+0 2 iJ  .0J ' NJ -NJ '- -   --  ' - 2 { J Nyes)% 2 {H J N +  TNTN'- - --  ' - 2 {NTno)* 2 {1NT o*   2 A  o*   2    o*   2  T 2  T o* 2  T 2  T o* 2  T 2  T o* 2 G T 2 G T o) 2 p T 2 p T o* 2  T o) +2  Applicant's Signature;**%%* .*)%)% 2   o* 2    o*2 9 TDate<%% 2  T o*- !Y -- !K -@Times New Roman؟ww wf- 2 s -                    ՜.+,D՜.+,l( hp  Taylor Training & Developmente &Application to the Board of Directors Title(QY_PID_LINKBASEClientAPhttp://www.taylortraining.com/tools.htmYour Organization Here   !"#$%&()*+,-./012345678:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXY[\]^_`adRoot Entry FcfData &1Table'"WordDocument,6SummaryInformation(9DADocumentSummaryInformation8ZCompObjjObjectPoolcc  FMicrosoft Word Document MSWordDocWord.Document.89q