Civic Engagement Volunteer Form

Interested in filling a position on a civic board, committee or commission? Please complete the bio form below and someone from the YPN Civic Engagement Team will contact you. The information provided may be shared with officials from The Chamber of Commerce of St. Joseph County and local government (South Bend, Mishawaka and St. Joseph County).

    Click to download the PDF version of this form.
 
Name
Employer
Home Address Line 1
Home Address Line 2
City
State
Zip
Phone
E-mail  
Educational Background/
Areas of Expertise
(please include a brief description)

 
Involvement in Nonprofit/
Civic Organizations
(please list your current involvement)

 
Political Affiliation
(required for some appointments)
 		  
I Am Interested In:
(please check all that apply)		 Local Government
Appointed Boards/Commissions
Elected Office
Nonprofit Sector
Board Positions
Volunteerism
 
I Am Passionate About:
(please check all that apply)		 Economic Development
Local Government
Education
Mentoring
Animals
 Other:
 


 

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The Chamber of Commerce of St. Joseph County
401 E. Colfax Ave., Suite 310
South Bend, IN 46617
574.234.0051
FAX 574.289.0358
info@sjchamber.org
 
© Copyright 2004 The Chamber of Commerce of St. Joseph County