Board Membership Application

Do you, any of your relatives, or your business entity work for, contract with, or serve as a vendor for any of the following agencies: Early Learning Coalition, Agency for Workforce Innovation, Department of Education, Public School district, or recognized accrediting agencies for public or private schools?YesNoIf Yes, Please Clarify

Have you ever been convicted of a felony? *YesNoIf Yes, Please Clarify

Are you willing to be fingerprinted for background screening purposes? *YesNo

Can you commit to regular attendance at Board and Committee meetings held generally held 6 times a year? *YesNo

What is your preferred location for contact?YesNo

Early Learning Coaliton Board Membership Application

Personal Information

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Employment

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