Trustee Profile Form

Please complete this form to provide us with basic contact information and your general board meeting participation requirements. The details you provide in the contact information section will also be made available to your fellow Trustees. Please provide the email address you would like us to use for all of your board correspondence and account IDs (i.e. for our online board portal and other board tools).

"*" indicates required fields

Contact Information

Name*

First Last

Email*

Job Title*

Company/Organization*

Postal Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Mobile Phone Number*

Office Phone Number

Home Phone Number

Date of birth*

Board Meeting Participation Requirements

Do you request that ISOC pay your Board meeting travel expenses?*

Yes

No

Special Meal Requirements*

No special requirements

Vegetarian

Other

Emergency Contact Name

Emergency Contact Phone