Please fill out the Board of Directors Application form below to request a board position with SLYB.

Required fields are indicated by: *

SLYB Needs You Volunteers are an integral part of the success of SLYB. As you may or may not know, SLYB is a non-profit organization whose Board members are unpaid volunteers.

Last Name*

First Name*

Middle Initial*

Email Address*

Address*

City*

State*

Zip*

Home Phone*

Work Phone

Cell Phone or Page

Date of Birth*

Employer*

Does your job demand being out of town frequently?*
Yes
No

Do you work evenings*
Yes
No
3rd Shift - approximately 11 PM to 7 AM

How many hours would you be able to devote to SLYB each week?*
Less than 5
5 to 10
More than 10

What are your qualifications for this position?*

Please provide 3 Personal References: Name Address and Phone Number