Foothills Community Alliance

Foothills Community Alliance
The Voice of Change for Columbia Valley
foothillscommunityalliance.com

Board of Directors Candidacy Application Form

Thank you for your interest in becoming a board member of FCA. The work we are doing is to benefit our diverse community. As a board member, your work would serve to represent those living in Columbia Valley. Use this form to provide useful information about yourself, to ensure the best match between you and the company that might want to consider you for its Board of Directors. The following information will be shared
Your name
Your Home Phone Number
Cell number
Your address
Current professional Career
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.
4.
Foothills Community Alliance Board of Directors Application
Which of your skills would you like to utilize on the Board? Check those that apply:
Strategic planning

Social Media/Web Financial management Which of your skills would you like to utilize on the Board? Check those that apply: Project Management Fundraising Marketing Administrative/Secretaria Grant Writing Negotiations Working in groups Community networking Leadership Skills Other Languages(s)
Spoken
Written
Other skill(s) of yours that you would like to utilize?
What personal benefit would you get from your participation on the board?
If you are selected for the Board, you agree that you can provide at least 4 hours a month in attendance to Board and Committee meetings, and that you do not have any conflict-of-interest in participating on the Board.
If you are not selected as a member of the Board, would you like to continue receiving correspondence and invitation at the email address listed above?

Yes No
Your signature

Clear
Date

Month Day Year
Date
Foothills Community Alliance Board of Directors Application
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Foothills Community Alliance

The Voice of Change for Columbia Valley