Community Foundation Board Biography Form

Name(Required)

First Last

Spouse/Partner Name

First Last

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Phone(Required)

Work Phone

Cell Phone

Organization / Employer

Title / Position

Business Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Website

Preferred Method of Contact(Required)

Preferred Email for Communications(Required)

P.O. Box 837, South Bend, IN 46624 | 305 S. Michigan St., South Bend, IN 46601 | Phone: (574) 232-0041 | Fax: (574) 233-1906