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The Gault Center, South Central Region: Statement of Interest for Regional Board Membership 1

Please complete the following Statement of Interest if you would like to be considered for membership on the South Central Regional Board of the Gault Center. Statements of Interest Should be Completed by November 1, 2022. Board members will be notified by December 1, 2022. *Required

3. I practice youth defense / am a youth defense advocate in the following state(s):*
(Check only one box)
4. I have worked in youth defense for...* 
(Check only one box)
5. Choose which statement best describes your work.*
(Check only one box)
10. I understand that by submitting this Statement of Interest, I am requesting consideration for a three-year appointment to the Regional Advisory Board.
(Check all that apply)
11. I understand that if I am appointed to the Regional Advisory Board but at some point during my term am no longer actively working in the area of youth defense, I will automatically resign my position as a Regional Advisory Board Member.
(Check all that apply)
12. If selected, I agree to notify the Co-Directors of the Regional Advisory Board if my employment changes and I am no longer actively representing or serving the youth. (Check only one box)
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