Committee Member Application | Kids for Kids NYC

Personal Information

First Name *

Last Name *

Phone Number *

Email Address *

Street Address

Apt

City

State

Zip

Work Information

Employer *

Title *

Employer Address

Same as Above

Employer Street Address *

Unit

City *

State *

Zip *

Experience

How did you learn about the Kids for Kids Foundation? *Networking and/or Relationships with current Kids for Kids Committee MembersRelationship to any of our Kids for Kids BeneficiariesI/my Employer have attended/sponsored an eventSocial Media OutletsOther

Please inform us of which member(s)

Please inform us of which event

Please explain

Please select all that apply

St. Jude Children’s Research Hospital, Memphis, TNMaimonides Medical Center, Brooklyn, NYSt. Mary’s Hospital for Children, Bayside, NY

Have you been or are you currently involved in any other organizations a part of a Committee and/or Board? If so, please indicate your role and impact within the organization: *

Please provide us with your Personal Mission Statement/Letter of Interest in the area below. This Form and Letter will be reviewed by the Kids for Kids Board of Directors at the next Board Meeting. *

Additional Information

Have you ever been convicted of a felony, misdemeanor and/or crime(s) of dishonesty?NoYes

Please explain:

Would you like to receive emails from us?

Yes, I agree to receive updates from The Kids for Kids Foundation

*Upon completion of this form, you will be contacted by a member of our team to discuss your interest in joining the Kids for Kids Foundation. Please note that once your application has been accepted your first year will be a trial year as an Event Committee Member and Volunteer.

New Committee Member Application