Board Member Application

Thanks for your interest in serving Wellmont Academy.

Please fill out the this application and we will notify you of the next steps.

Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Personal References*
Name Phone Number Email Address
Professional References*
Name Phone Number Email Address
What assets do you believe you will bring to the Wellmont Academy Board of Directors?*
List any supervisory or leadership roles that you have had, both professional and spiritual.
Have you ever been convicted of a crime?*
Are you a born-again Christian?*
Are you currently a member of an evangelical local church?*
Explain what the Gospel of Jesus Christ means to you personally.
What do you perceive to be your greatest strength?*
What do you perceive to be your greatest weakness?*

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Wellmont Academy of Tampa Bay, Inc admits students of any race, color, national and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national and ethnic origin in administration of its educational policies, admissions policies, scholarship and loan programs, and athletic and other school-administered programs.

Wellmont Academy of Tampa Bay, Inc. is an IRS registered 501(c)(3) non-profit organization, and as such your contribution to Wellmont Academy is tax-deductible to the extent allowed by law.

Name	Phone Number	Email Address

Name	Phone Number	Email Address