| Public Official Board Members | ||
|---|---|---|
| First Name | Last Name | Board Position |
| Private Sector Board Members | ||
|---|---|---|
| First Name | Last Name | Board Position |
| Low Income Board Members | ||
|---|---|---|
| First Name | Last Name | Board Position |
| First Name | Last Name | Board Position | |
|---|---|---|---|
| Deleted Board Members | |||
|---|---|---|---|
| First Name | Last Name | Board Position | |
| Board Member Details | |
|---|---|
| *Required | |
| *Required | |
| Invalid Date | |
| *Required for President/Chair Invalid | |
| *Required for President/Chair Invalid | |
| Term Length |
Invalid Date
Invalid Date
|
| Edit Update Cancel | |
| Key Staff | |||||
|---|---|---|---|---|---|
| First Name | Last Name | Job Title | Role | Phone | |
| Deleted Key Staff | |||||
|---|---|---|---|---|---|
| First Name | Last Name | Job Title | Role | ||
| Staff Details | |
|---|---|
| *Required | |
| *Required | |
| *Required | |
| *Required | |
| *Required | |
| *Required | |
| Edit Update Cancel | |
| Subcontractors | |||||
|---|---|---|---|---|---|
| Name | Services/Programs Provided |
Funding Sources | Minority, Woman or Veteran Owned |
||
| Deleted Sub Contractors | ||
|---|---|---|
| Name | Services/Speciality Work/Programs Provided | |
| Subcontractor Details | |
|---|---|
| *Required | |
|
*Required
Speciality Work (list all that apply): General Contractor, Electrical, HVAC, Plumbing, Carpenty, Lead, Asbestos, etc. |
|
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| Funding Sources: |
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| Edit Update Cancel | |