Thanks for your interest in the Nonprofit Board Membership 101 workshop. Please complete the form below. Name: * Position or Title: Employer Work Address: City: State: Zip Code: Work Telephone: Email Address: * Home Address: City: State: Zip Code: Alternative Telephone: Contact in the event of an emergency: With adequate notice, The Center for Public and Nonprofit Management staff can accommodate participants with disabilities. Please indicate any special needs you may have: How did you hear about this workshop? Leave this field blank