Board of Directors Application
Road2Home
Applicant Information
Name
*
First Name
Middle Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
Email
*
example@example.com
Road2Home Board members are elected to serve terms of one year calculated by the start of the calendar year closest to the date of election. Can you commit to a 3-year term?
*
Yes
No
Have you served on a nonprofit board before?
*
Yes
No
If yes, please list board and committees that you have served on(including business, civic, community, fraternal, political, professional,recreational, religious, social, etc.)
If not, will you agree to read the WA Quick Guide for Board Service or the WA Nonprofit Handbook? (https://www.sos.wa.gov/_assets/charities/2015-quick-guide-for-board-service.pdf or https://www.sos.wa.gov/_assets/corps/washington-nonprofit-handbook-2018-edition.pdf)
Yes
No
List any volunteer experience and/or experience working with the homeless population.
Why do you want to serve on Road2Home’s board?
*
Do you have expertise or experience in the following areas that you would like to share?
Attorney/legal
Accounting/bookkeeping
Case management/social work
Experience working with homeless individuals
Mental health/counseling
Healthcare
Fundraising/marketing/event planning
Other
Describe any other experience you feel would help you serve on the Road2Home Board of Directors.
Employment History
*
Educational Background
*
References
Please list two references.
First Name
*
Last Name
*
Title
Relationship
Organization
*
Area Code
*
Phone Number
*
First Name
*
Last Name
*
Title
Relationship
Organization
*
Area Code
*
Phone Number
*
Please include a current resume.
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Signature
*
I certify that my answers are true and complete to the best of my knowledge. I give permission for the Road2Home Board to contact my references listed above.
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