Brunswick Local Redevelopment Authority
Please complete the form below and click the 'SUBMIT' button to forward your application to the Veterans Housing Coalition of Maine.
For which are you applying? Board of Directors* Advisory Committee
First Name:
Last Name: Street Address: Town:
Zip:
Tel: Fax: Email:
Service Branch:
Dates: From To
Rank or Rate:
Type of Discharge:
Significant Honors: Veterans Service Organization(s):
If Still Working Name of Employer: Type of Business:
Location:
Brief Job Description:
Retired: Yes No
Previous Profession or Occupation(s):
Please describe your special skills and interests and how you believe you can best contribute to the Veterans Housing Coalition of Maine:
Other Boards or Professional Affiliations:
Please Check Suggested Role(s): Wants to learn more about VHCofME
Prospective Donor
Major Gift Prospect
Potential Volunteer
Potential Advisory Board Member
Potential Board Member
* Directors must be veterans
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