Board Member Application Thank you for your interest in serving as a member of the Board of Directors of the New Castle Henry County chamber of Commerce. Please be sure you have reviewed the application information before completing the application form below. Name First Name * Last Name * Title or Position Best Contact Phone Number * Years in Henry County Employer * Years with Present Employer Employer Address Employer City/State/Zip Email * Did a current Chamber board member refer you? * Yes No If yes, who? Does your current employer participate in chamber sponsorships and events? * Yes No Unsure Educational Background Why do you want to be a Chamber board member? Work History Your chamber participation: Community activities you are/have been involved in Other memberships, achievements, board responsibilities, etc. Will you be engaged - giving your time, energy and resources to support the work and mission of the Chamber? What talents do you feel you could contribute to the success of the Chamber? Why is being part of the Chamber important to you and your employer/organization? Will you be an advocate for the Chamber by recruiting new members, fundraising and speaking positively about the work of the organization? What do you believe are the two most significant issues or problems facing Chamber members and/or the Henry County area? Anything else the board should know/consider? Todays date * Thank you!