Individual Director Application Legal Name * First Name Last Name Email * Message * Scene Name Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Date MM DD YYYY How long have you lived in the SF Bay Area? How long have you supported the SF Bay Area Leather/Fetish/MC Community? In what ways have you supported or participated in the local community? Leather / Fetish / MC Org memberships and affiliations. Length, positions held & current status? Current or previous community titles & years held? Leather / Fetish / MC community involvement in other cities? What skills & resources do you bring to the Alliance? What are your proposed focus areas? Why do you want to be an independent director? Thank you!