Committee Member Application – The Harrisburg Christian Performing Arts Center

First Name

Last Name

Phone

Address

City

State

Zip Code

Occupation

Employer

Employer Address

Employer City

Employer State

Employer Zip

Spouse's Name (if applicable)

Children - Name/Age (if applicable)

Past/present memberships & positions held with other organizations

On which of the Board Committees would you be best suited to serve?

Finance Committee

Fundraising & Development Committee

Church & Community Outreach

Building & Grounds Committee

Safety & Security Committee

View Committee Descriptions

Why would you be best suited to serve these committees?

In support of my application for candidacy for the HCPAC Board of Directors, I submit the following three references that may be contacted regarding my application:

Reference Name 1

Reference Phone 1

Reference Occupation 1

Reference Email 1

Reference Name 2

Reference Occupation 2

Reference Phone 2

Reference Email 2

Reference Name 3

Reference Occupation 3

Reference Phone 3

Reference Email 3

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