Please complete the following application to be considered for a program scholarship to Get-on-Board.

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* 1. Name

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* 2. Email

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* 3. Phone

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* 4. City

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* 5. State

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* 6. Current Position

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* 7. Current Organization 

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* 8. Please list any previous Board positions (eg Nonprofit Boards)

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* 9. I am interested in the Get-on-Board program and would be a good candidate because

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* 10. Should I be selected for a scholarship, I will make every effort to attend the full program, including the live event.
I hereby give permission to OWL: Advancing Diversity in Leadership to note my name/headshot in any promotions around the scholarship.

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* 11. Please upload a copy of your CV/Resume

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
Choose File

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* 12. Any other information you'd like us to know?

Thank you for completing the application.
Please click "Done" below to submit your answers.

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