LeadUS Mentoring Program 2015-16

Name *

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Date *

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Birth Date *

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Please list your current and past Board experiences *

What are your current associations and/or club affiliations (include titles if possible) *

Please list your skills and expertise *

What is your educational background? *

Please describe in details some of your greatest strengths and weaknesses *

What do you feel is essential to ensure that the Board and staff are successful in attaining the goals for this organization? *

What experiences, expertise, connections, or resources would you bring to LET & Schooling Group VZW? *

Please detail your interest in joining this Board *

What type of Board tasks do you prefer? *

Directors of the LET & Schooling Group VZW Board might take on special projects, in addition to their Board responsibilities, to assist LET & Schooling Group VZW in our performing arts workshops, social change and scholarship initiatives. Please let us know if you have any specific project ideas you would like to propose. *

Have you ever been engaged in any specific fundraising efforts? If so with whom, how, and what was the amount raised? Are you comfortable playing an active role in assisting LET & Schooling Group VZW with fundraising efforts? *

The LET & Schooling Group VZW Board will initially have 5 standing committees: (1) Finance and Sponsorship Committee, (2) Development Committee, (3) Evaluation & Expertise, (4) Training Programs, and (5) Marketing. Please check all that you would be interesting in joining. *

Finance and Sponsorship Committee Development Committee Evaluation & Expertise Training Programs Marketing

How much time would you have to dedicate to LET & Schooling Group VZW (a week, a month, etc…)? *

LET & Schooling Group VZW’s Board is an exciting and engaged working board. Board members are required to participate in a minimum of 4 board conference calls per year, 4 quarterly meetings, one annual face-to-face meeting once a year, and a minimum of 11 standing monthly committee meetings, which occur outside of regular board meetings (this can happen by phone or internet). Board members are expected to be timely and present at every meeting with a maximum of two absences from board meetings. Between work within and outside of meetings, hours of commitment would probably vary between 3-5 hours per month. Board members are also encouraged to participate in fundraising and development activities, which include an annual gift toBBOT that is personally significant and meaningful. Board members are expected to commit to the role for a minimum of 4 years. Will you be able to make this commitment to LET & Schooling Group VZW? _____ Yes _____ No _ Maybe: Please indicate any concerns below: . . PLEASE ADD ANY ADDITIONAL INFORMATION YOU WOULD LIKE US TO CONSIDER

After your application has been reviewed you may be asked to interview in order for us to better get to know you. Please have a list of references available upon request. Thank you for your interest. I certify, by my signature, that the information contained within this application and all supporting documents (i.e., resume, recommendation letters, etc.) is true, accurate, and complete to the best of my knowledge. An electronic signature is accepted. Signature_____________________________________ Date_____________

LET & Schooling Group VZW, does not discriminate on any basis including race, gender, age, religion, nationality.

Board of Directors Applicant Form

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