Board Member: Information Update

Board Member Info

We'd like to get your updated information as we work to create the new WFIS website. If you would complete the form and upload a digital photo, we can make sure we have accurate information. Please note that ALL fields are required. Thank you!

Name*
NOTE: The prefix, middle name and suffix fields are optional.
Title (optional) First Middle (optional) Last Suffix (optional)
Email
School/Organization*
Role/Position*
Brief bio*
Please include a couple of sentences about you.
Constituency*
- ACSI
- AWSNA
- CATH
- CSI
- MONT
- SDA
- NWAIS
- LUTH
Photo*
Please include a portrait photo that is at minimum 500px wide by 500px high. The file should be no larger than 5mb.
Accepted file types: jpeg, jpg, png, Max. file size: 6 MB.
Phone
This field is for validation purposes and should be left unchanged.