Board of Directors Application Name* First Last Email* Primary Phone Number*Mobile PhoneWork PhoneEmployer Name Job Title Resume Attached*Max. file size: 80 MB.Please attach your most recent resume.Briefly describe why you would like to join our Board of Directors*Do you have previous experience on a Board?*YesNoPlease explain your previous Board experienceCurrent organizational affiliations (names of the organization and your role(s):*Specific Areas of Relevant Expertise* Accounting/Finance Behavioral Health Community Relations Education Entrepreneurship Event/Project Managment Fundraising Health Care Human Resources/Personnel Management Law Marketing/Communications Grant Writing/Assessment Not for Profit Experience Policy Development Research/Evaluation Strategic Planning Technology Volunteer Coordination/Management Please select all that applyCheck any networks that you have within the community that may benefit our program.CommerceCurrent ExpertiseFuture InterestCulturalCurrent ExpertiseFuture InterestEducationCurrent ExpertiseFuture InterestFoundationCurrent ExpertiseFuture InterestGovernmentCurrent ExpertiseFuture InterestGrassroots OrganizationsCurrent ExpertiseFuture InterestHuman Services OrganizationsCurrent ExpertiseFuture InterestIndustryCurrent ExpertiseFuture InterestLaborCurrent ExpertiseFuture InterestLegalCurrent ExpertiseFuture InterestReligiousCurrent ExpertiseFuture InterestOther Network Other NetworkCurrent ExpertiseFuture InterestOther Network OtherNetworkCurrent ExpertiseFuture InterestOther Network Other NetworkCurrent ExpertiseFuture InterestWhich of your skills would you like to utilize on the Board?* Board development Strategic planning Program development Financial planning/management Fundraising Investment management Evaluation Community networking Marketing/Social Media Volunteer management Facilities management Check those that applyOther skills What would you like to get for yourself out of your participation on the Board, e.g., what types of experiences, developing skills, interests to cultivate for you, etc.?*If you are not selected as a member of the Board, or if you decide not to join, would you like to be a volunteer to assist our organization?YesNoPerhaps Δ
