Board of Directors Contact Information Please take a few moments to complete the below form with your most recent information. Please enable JavaScript in your browser to complete this form. - Step 1 of 3 Director informationName *FirstLastTitleBirthdateHome AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHome PhoneCell PhoneEmail *Education [institutions other than FHSU with date(s) and degree(s)]Section DividerPlace of BusinessPosition TitleBusiness AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeBusiness PhoneBusiness History [past place(s) of business and position title(s)]:Affiliations [corporate, nonprofit, professional, educational, fraternal, community, clubs, and professional certifications]:Awards and/or Honors:Area of Expertise and/or Experience Agriculture/animal scienceArchitecture/designAccountingAdvertising/marketingCommunications/journalism/telecommunicationsConstruction/landscapingCreative/performing artsCustomer service/supportEngineeringEducationFinancial servicesGovernment/public admin.Healthcare/medical servicesHotel/hospitalityInformation TechnologyInsuranceInternational RelationsLegal Services/public safetyManagement/leadershipManufacturingNon-profit/NOG/charity/religiousRetails sales/services/tradeRestaurant/food servicesReal EstateScience/BiotechnologyOtherArea of Expertise and/or Experience Agriculture/animal scienceArchitecture/designAccountingAdvertising/marketingCommunications/journalism/telecommunicationsConstruction/landscapingCreative/performing artsCustomer service/supportEngineeringEducationFinancial servicesGovernment/public admin.Healthcare/medical servicesHotel/hospitalityInformation TechnologyInsuranceInternational RelationsLegal Services/public safetyManagement/leadershipManufacturingNon-profit/NOG/charity/religiousRetails sales/services/tradeRestaurant/food servicesReal EstateScience/BiotechnologyOtherArea of Expertise and/or ExperienceAgriculture/animal scienceArchitecture/designAccountingAdvertising/marketingCommunications/journalism/telecommunicationsConstruction/landscapingCreative/performing artsCustomer service/supportEngineeringEducationFinancial servicesGovernment/public admin.Healthcare/medical servicesHotel/hospitalityInformation TechnologyInsuranceInternational RelationsLegal Services/public safetyManagement/leadershipManufacturingNon-profit/NOG/charity/religiousRetails sales/services/tradeRestaurant/food servicesReal EstateScience/BiotechnologyOtherOther Area of ExpertisePhoto Upload Click or drag a file to this area to upload. Next Partner/spousal information (if applicable)Name *FirstLastTitleBirthdatePlace of BusinessPosition TitleCell PhoneEmail *Education [FHSU and/or other institutions with date(s) and degree(s)] (copy)Children information (if applicable) How many children do you have?None12345Name *FirstLastBirthdateFHSU Grad/ AttendeeYesNoName *FirstLastBirthdateFHSU Grad/ Attendee YesNoName *FirstLastBirthdate FHSU Grad/ AttendeeYesNoName *FirstLastBirthdate FHSU Grad/ AttendeeYesNoName *FirstLastBirthdate FHSU Grad/ AttendeeYesNoNextYour hobbies/interests:Military service [if applicable]:Religious/political affiliations [optional]:Other information you would like to provide:Submit
