Street Address 

City State Zip

Email 

Residence Phone    Business Phone 

Business/Company 

Volunteer experience (Previous Board and/or Volunteer Experience)
 

I would like to be involved with:

Daffodil Planting     Earth Balloon

 Grant Review     Monopoly in the Park     Miscellaneous

I contribute best as a:

 Planner   Supporter   Project Leader    Fundraiser   Other

List any affiliations with other organizations:
 

What will you bring to the San Jose Beautiful Program and its Steering Committee (i.e. influence, contacts, etc.)
 

Reference:

Name 

Address

Telephone