Board of Trustee Election Candidate Data

Information collected via this form will be submitted to the executive assistant of the Board of Trustees for further processing. Providing this information is not mandatory. For questions, contact Leah Benz.

Name Name * First Last
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Contact Phone Contact Phone * - ### - ### ####
Email *
Are you married? *

Are you married? Yes No
Spouse's name Spouse's name First Last
Do you have children? *

Do you have children? Yes No
Names / ages of your children
What is your current occupation / profession? *
What is your education? *
Candidate Qualifications
Describe your experience as a board member.
Describe your membership in organizations, clubs, civic groups, and service agencies.
Why are you interested in becoming a trustee of John Wood Community College? *
What attribute(s) do you have that may be beneficial to the community college district? *
Describe your educational philosophy. *
What do you consider to be the greatest challenges for future development of John Wood Community College? *
Additional comments
Draw or type your signature below. *

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Today's Date Today's Date * / MM / DD YYYY

Board of Trustee Election Candidate Data

Board of Trustee Election Candidate Data

Candidate Qualifications