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Candidate Name *

Business/Corporation *

Position/Title *

Business Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code

Phone

### - ####

Operation Name(s)

Type of Operation

# of Units

Annual Food Service Sales Volume

If you are operating in more than one state, please list state abbreviations:

Please describe why you would like to join the
Massachusetts Restaurant Association Board of Directors *

Please describe any special areas of focus or expertise that can contribute positively to the MRA:

Please list additional industry-related activities or organizations you have supported or participated in during the past 5 years. Include any positions held or special accomplishments:

Please list any other organizations you have supported or participated in during the past 5 years.

Please list any additional industry-related activities or organizations you have supported or participated in during the past 5 years.

Please upload any additional documents to be reviewed for your application.

The MRA's purpose is to support, promote and advance the food and beverage industry in Massachusetts for the benefit of our members and the general public. Please indicate your level of commitment:

Yes, I am prepared to spend four days or more per year on MRA Board of Directors involvement.

No, I am not prepared to spend four days or more on MRA Board of Directors involvement.

Yes, I am prepared to make this commitment with the understanding that it may cost up to $1000 per year (business-tax deductible.)

No, I am not prepared to make this commitment with the understanding that it may cost up to $1000 per year.

Please note: The completion of this application form does not guarantee nomination. A limited number of seats will be filled. Applications candidates not receiving nominations will be referred to future committees for consideration. Candidates will be contacted prior to referral to determine a continuing desire for consideration.

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