First Name *

Last Name *

Phone *

Email *

Organization *

Which board, council or committee are you MOST interested in joining? (Select one) *

Enter required value St. Pete Chamber Foundation Public Policy Council HLUD (Housing & Land Use Development) Legislative Transportation Finance Diversity & Inclusion Chamber NEXT Greenhouse/Business Navigation & Growth Board of Governors Executive Committee

How long have you been a member of the St. Pete Chamber? *

What other board, councils or committees are you interested in joining? (Select all that apply)

St. Pete Chamber Foundation

Public Policy

HLUD (Housing & Land Use Development)

Legislative

Transportation

Finance

Diversity & Inclusion

Chamber NEXT

Greenhouse/Business Navigation & Growth

Board of Governors

Executive Committee

If interested in a leadership role on a St. Pete Chamber board, please specify the desired role:

Please share why you would like to engage in this role with the St. Pete Chamber.

What are your special skills/areas of expertise? (Select all that apply).

Administrative

Leadership Development

Research and Evaluation

Government Relations

Community Relations

Marketing & Communications

Fundraising

Computer/Technology

Education Program Design

Workforce Development

Public Relations

Financial Management

Legal

Diversity & Equity

Grant Writing

Event Management

Do you currently or have you ever served on the board of any other nonprofit organization(s)? *

Enter required value Yes No

If yes, please list the organization(s) below.

Do you currently (or previously) serve in any of the following board leadership roles?

President

Vice President

Secretary

Treasurer

Chair

Vice-Chair

Other

If you checked any of the items above, please explain below: