CCC Board Bio and Information Form Fields marked with an * are required First Name * Last Name Current Job Title (if applicable) Place of Employment (if applicable) City of Residence 1. What first motivated you to apply for a seat on the CCC Board of Directors? * 2. In what other ways have you been involved with CCC? (optional) 3. What are your duties on the Board? * 4. What is your favorite thing about serving on the CCC Board of Directors? * 5. What do you think people need to know about CCC/what might surprise them? * 6. What is your hope for CCC’s future? * 7. What else would you like to share? Education, family, hobbies, etc.? If you are a human seeing this field, please leave it empty.