FoRIO Board Member Application Form

Your Name (required)

Address 1 (required)

Address 2

City (required)

State (required)

Zip (required)

Country (required)

Your Email (required)

Your Phone Number (required)

Brief employment /volunteer history relevant to FoRIO
Employer / Job Description / Title (required)

Employer / Job Description / Title

Interests relevant to FoRIO (required)

List of organizations to which you currently belong (required)