Advisory Committee Agreement Form
Submit your details and confirm your agreement to participate in the advisory committee.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Current Organization or Affiliation
*
Area(s) of Expertise
*
Business Strategy
Finance
Legal/Compliance
Technology/IT
Operations
Marketing/Communications
Other
Briefly describe your relevant experience for this committee.
*
Why are you interested in serving on the advisory committee?
*
What is your general availability for committee meetings?
*
Please Select
Weekdays (morning)
Weekdays (afternoon)
Weekdays (evening)
Weekends
Flexible/As needed
I acknowledge that I will maintain confidentiality regarding all committee discussions and materials.
*
Yes, I agree
No, I do not agree
I agree to fulfill the responsibilities of an advisory committee member, including active participation and meeting attendance.
*
Yes, I agree
No, I do not agree
Signature
*
Submit
Submit
Should be Empty: