Prospective Board Member Questionnaire
Name
*
First Name
Last Name
Personal Email
example@example.com
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone Number
-
Area Code
Phone Number
Mobile Phone
-
Area Code
Phone Number
Company/Organization
Title
Work Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Work Email
example@example.com
Referred by:
Preferred method of contact:
*
Personal Email
Work Email
Special Skills:
Fundraising
Human Resources
Finance
Business
Marketing/Public Relations
Technology
Legal
Other
Comments:
Professional Background
For-Profit Business
Government
Nonprofit Organization
Other
Education: Please include Institute Name, location and Major/Degree
Other board services:
Other affiliations:
Experience with Girl Scouts/commitment to Girl Scout Mission
Other pertinent information
Attach resume and headshot
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