Young Professionals Council Application

Personal Information*

Please enter your name as you would like it displayed publicly.

First Last

Preferred pronouns

Email Address*

Phone number*

Address*

Street Address Address Line 2 City State ZIP Code

Employment Information

Employer

Title

Work Email*

Work Phone*

Work Address*

Street Address Address Line 2 City State ZIP Code

1. How did you hear about Freedom Service Dogs (FSD)?

2. Please list your relevant experience and/or employment.

3. Please list prior experience serving as a board member or committee member and any roles/titles you held.

This can include business, civic, fraternal, political etc.

4. Please check any area(s) of expertise/contribution you feel you can make to further the mission of the YPC.

5. What other volunteer commitments do you currently have and do you think they would prohibit you from attending our monthly meetings?

6. Why are you interested in becoming a member of the YPC and what do you hope to gain, personally and professionally?

7. Please include any additional information you feel is important for consideration of your application to YPC.

8. Preferred Method of Contact:*

Phone

This field is for validation purposes and should be left unchanged.