Unique Woman’s Coalition Board Application

Unique Woman’s Coalition

Board Application
Thank you for your interest in joining the Unique Woman’s Coalition Board of Directors! Use this form to provide useful information about yourself.
Your name:*
Pronouns*
Your Cell Phone Number:*
Your Home Phone Number:*
Your address:*
Birthday*

MonthDayYear
Date
Current Age*
Your email address (please write it carefully):*
example@example.com
Briefly describe why you would like to join our Board of Directors:*
Your current organizational affiliations (names of the organization and your role(s):
1.
2.
3.
Which of your skills would you like to utilize on the Board? Check those that apply:*

Board developmentFinancial managementTrainingStrategic planningFundraisingMarketingStaffing / HREvaluationVolunteer managementProgram developmentCommunity networkingAdvocacy / PolicyOther
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Other skill(s) that you would like to utilize?
What would you like to get from your participation on the Board, e.g., what types of experiences, skills to develop, interests to cultivate for you, etc.?*
How do you identify?*

Trans MasculineTrans ManTrans FeminineTrans WomanCis-GenderNon-BinaryOther
Ethnic Background:*

Black or African AmericaAmerican Indian or Alaska NativeAsiaHispanic or LatinoNative Hawaiian or Other Pacific IslandeWhitMixed Heritage
Signature*

Clear
If you join the Board, you agree that you can provide at least 2-4 hours a month in attendance to Board and Committee duties and that you do not have any conflict-of-interest in participating on the Board.
Date:

MonthDayYear
Date
*Please attach a current Bio and Headshot with your application.*

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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 in various ways that match your skills and interests?*

YesNo
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