Editing previous response:

Please fix the highlighted areas below before submitting.

Charlotte Lab Board Candidate Interest form

Please complete the form below. Required fields marked with an asterisk *

Valid email address*

Answer required for "Valid email address"

First Name*

Answer required for "First Name"

Last Name*

Answer required for "Last Name"

Are you a resident of North Carolina?*

Answer required for "Are you a resident of North Carolina?"

yes

Phone number*

Number Required

Affiliation with Lab*

Answer required for "Affiliation with Lab"

Parent or Guardian

Community Member - resident of Charlotte region

Community Member - place of business is in Charlotte region

Please attach a letter of interest.*

Answer required for "Please attach a letter of interest."

Choose a file or drag it here.

Please attach your resume/CV*

Answer required for "Please attach your resume/CV"

Choose a file or drag it here.