Trustee Info Form

Trustee Profile Form

Used to obtain contact information and other helpful data.

  • Note the format you prefer to use professionally or in publications if you use a nickname, middle name, middle initial, suffix, etc. (ie. Ted Valentine, Edward V. Valentine, Edward Virginius Valentine, E. Virginius Valentine)
  • Contact Information

  • Other Info

  • MM slash DD slash YYYY
  • Note: Categories are listed as requested by GuideStar. This information is used for the tallies and percentages we are required to submit to report on our board demographic makeup for the Valentine's GuideStar profile and additional grant applications.
  • Family

  • MM slash DD slash YYYY
  • Occupational History, Community Engagement and Other Interests*

    *In lieu of completing this portion of the form, you may upload a recent resume or CV below or email to
  • Max. file size: 50 MB.