NOVA Workforce Board of Silicon Valley: Workforce Board Application

First Name		Last Name

Company Name

Company URL

Address

Home Address

City		State		Zip

Home City		State		Zip

Business Phone		Fax

Home Phone		Cell Phone

1.	Type of Business:


2.	Approximate number of local employees?


3.	What is your official position and and what do you do at your organization?


4.	What do you think are the critical workforce issues for our region?


5.	What would you bring to the NOVA Workforce Board? (talent, expericnce, resources, knowledge, networks, passion?)


6.	What value do you hope to get out of your participation on the NOVA Workforce Board?


7.	What else would you like to say?

NOVA Workforce Board Membership Application