Workforce Coalition Leadership Team Application

Hendricks County Workforce Coalition

Leadership Team Application

"*" indicates required fields

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Personal Phone #*

Personal Email*

County of Residence*

Employer*

Title*

Work Email*

Which role(s) are interested in applying for? (select all that apply)*

President

Secretary

Treasurer

Child Care Task Force Leader/Liaison

Housing Task Force Leader/Liaison

Transportation Task Force Leader/Liaison

What skills and expertise would you bring to the leadership team for the benefit of the coalition?*

Do you have experience serving on a leadership team for an organization or coalition?*

Yes

No

Share about your experience serving on leadership teams.*

Are you able to commit 2-4 hours per month to the coalition?*

Yes

No

1610 Reeves Rd.
STE 103
Plainfield, IN 46168