Board of Directors and Committees Application

Name *

First Name

Last Name

Primary Phone *

(###)

###

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Secondary Phone

(###)

###

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What role are you applying for with Madison Ballet? *

Board of Directors

Board Committee Membership

Which board committee would you be most interested in serving on?

HR, Governance, and Recruitment

Marketing and Development

Finance

Optional: Please indicate your age range.

18 - 24

25 - 34

35 - 44

45- 54

55 - 64

65 and above

Optional: Please indicate your gender.

Female

Male

Non-binary

Transgender

Optional: Please indicate your race or ethnicity.

Black or African American

White

Native Hawaiian or Pacific Islander

American Indian or Alaska Native

Asian

Hispanic or Latinx

Optional: Have you ever served on active duty in the U.S. Armed Forces, Military Reserves, or National Guard?

Yes

No