WHITE BIRD CLINIC –BOARD MEMBER APPLICATION
White Bird Clinic is looking for motivated individuals to join their Board of Directors. It is our hope these individuals are representative of our community and/or clients. We are committed to recruiting members of the BIPOC community to expand the voices at our table.
Name
Last Name
First Name
Birthdate
-
Month
-
Day
Year
Date
Phone Number
-
Email
What is your experience with being unhoused or working with the unhoused community?
If you have no experience with working with the unhoused community, are you willing to familiarize yourself with this community and/or attend trainings?*
YES
NO
Do you have any experience with consensus-based processes or consensus-based decision making?
If you have no experience with the consensus process, are you willing to familiarize yourself with the process and/or attend trainings?*
YES
NO
What experience do you have working with non-profits or governance?
*
If you have no experience in this area, are you willing to attend trainings?*
Yes
No
What is your experience/understanding/involvement with White Bird? Please describe in detail.*
What is your vision for White Bird Clinic ten years from now?(OPTIONAL)
Would you have any concerns about joining the White Bird Board of Directors? (OPTIONAL)
Can you describe a difficult conversation you had and what approaches did you use to address this? What tools do you use to navigate situations like this
What do you do for self-care?*
Is there anything else you would like us to know about you?
Please verify that you are human
*
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