Ulster County – Volunteer Board Member Application Please fill out this application as completely as possible. This is a submission to the County Executive for appointment. 1234Name Of Board Applicant Name Home Address AddressCityStateZipEmail Cell Phone Home Phone Business Address AddressCityStateZipBusiness Phone Contact Preference HomeBusinessEmailEducation / School / Degree or Certification 1 Education / School / Degree or Certification 2 Education / School / Degree or Certification 3 Employment / Position / Dates 1 Employment / Position / Dates 2 Employment / Position / Dates 3 Employment / Position / Dates 4 Memberships and/or other volunteer responsibilities: Please list any current or recent civic, professional, health, and/or community organization to which you belong or volunteer.Areas of expertise/interests: Please explain your interests or qualifications which you feel should be considered in the evaluation of your application.Languages Spoke EnglishSpanishOther Languages Availability/Restrictions: Please indicate any time constraints or travel limitations.Activities/Hobbies: Please attach a current resume, if available. Drop your file here or click here to upload You can upload up to 1 files. The following questions are OPTIONAL. They are intended to provide us with information to help ensure broad participation and representation.Age Under 1818-3435-4445-6465 & overRace/Ethnicity American Indian/Alaskan NativeCaucasian WhiteHispanicAsian/Pacific IslanderAfrican American/BlackMessagePreviousNextSubmit