Junior Board Application Name * First Name Last Name Email * Phone (###) ### #### Birthday * MM DD YYYY Address Address 1 Address 2 City State/Province Zip/Postal Code Country Employer * Job Title * Have you ever been convicted of a felon or misdemeanor? * Yes No Have you ever volunteered for Seeds of Impact? * What strengths will you bring to the Junior Board? * What is the main reason you want to join the Junior Board? * If selected, I am able to perform all of the duties listed on the application page. Yes No Thank you!
