Board Member Application FormThank you for showing interest in our in becoming a Board MemberPlease enable JavaScript in your browser to complete this form.Name *FirstLastPhone NumberEmail *Name of College/UniversityDegreeAssociateBachelors MastersChoose the degree you are currently pursuing aboveHome Address (Street Number, Name, #Apt):Home Address Continue(City, State, Zip Code)What country/(ies) are you a citizen of?Your experience: Have you had any previous involvement with CIP?Can you tell us a bit about your previous cross cultural or professional experiences?What interests you in being a board member?Feel free to paste your LinkedIn Profile URL here:All applications are reviewed by our Executive Director, Dr. George PalamattamSubmit