Board Member Interest Form

Board Service Application

Please fill out the form below.
Name

First NameLast Name
Pronouns
Occupation
Ttile / Organization (if any):
Email
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
What is the best way to reach you?
Why are you interested in committing your time and energy to the mission of HopeSparks?
What is your connection to HopeSparks?
HopeSparks has a commitment to equity and inclusion.
Please describe why this is important to you.
Please share any experience that you would contribute as a Board member.
(e.g., professional experience, lived/personal experience, community involvement, etc
Have you ever served on a Board before?
Our Board is also looking for individuals with skills or experience in the following areas. Which would you bring? (Please check all that apply)
How did you find out about us? Please explain.
(e.g., referral, personal experience)
Is there anything else you would like to share with us?
(e.g., referral, personal experience)
OPTIONAL INFORMATION

HopeSparks values having strong diversity on our Board. By providing the following information, you will help us ensure that appointments represent a broad cross-section of our community. You are under no obligation to provide this information. State and federal law prohibit the use of this information to discriminate against you. HopeSparks will treat this information as confidential to the fullest extent of the law.
Gender
You have selected Other. Please describe.
LGBTQ+
Race / Ethnicity (check all that apply)
Age
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Board Service Application