Name *Email Address *Confirm Email Address *Phone *Street Address *Apartment, suite, etcCityState/ProvinceZIP / Postal codeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCaribbean NetherlandsCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SAR ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint HelenaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSouth KoreaSouth SudanSpainSri LankaSt. BarthélemySt. MartinSt. Pierre & MiquelonSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyriaSão Tomé & PríncipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTunisiaTurkeyTurkmenistanTurks & Caicos IslandsTuvaluU.S. Virgin IslandsUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweTell Us About YouNonprofit board experience *Have you ever served on a board of directors of a nonprofit agency or organization? If yes, please describe your experience, including dates served or your current term.Community leadership experience *Have you held other leadership positions in community organizations? If yes, please describe them, including dates served or your current term.Hobbies and interests *With what do you fill your spare time? Please include hobbies, interests, and community involvement.Previous APT involvement *Have you had prior involvement with Allentown Public Theatre? If yes, please describe.Willingness to serve *Are you willing to serve if elected to the Board of Directors of Allentown Public Theatre?YesNoMeeting availability *Our monthly board meetings are held on a weeknight, once a month, typically but not always at 7:00 p.m. Would you generally be able to attend at that time?YesNoBackground checks *Because Allentown Public Theatre interacts with children, all board members must submit to Pennsylvania or national criminal and child-abuse background checks. If elected, are you willing to initiate and pay for these checks?YesNoPrimary contributions *Board members serve on committees dealing with finance, marketing, fundraising, outreach, technical work, program development, box office, and other areas. What do you anticipate would be your primary contribution to the board’s committees?Committee interests *On which committee or committees would you wish to serve if elected?Fundraising experience *Board members are expected to take part in fundraising efforts. What experience do you have with fundraising?Fundraising participation *If elected, are you willing to participate in fundraising activities and occasional brief training sessions to strengthen your skills?YesNoReasons for applying *What are your reasons for wanting to serve on the Board of Directors of Allentown Public Theatre?Additional informationWhat else would you like us to know about you that would be relevant to our consideration?Submit