Family Paths Board of Directors Interest Form

Board of Directors Interest Form

Whether you are self-nominating or you are nominating someone else, please fill out this form as completely as possible. Please note: Many people are nominated for a few open board positions. A rigorous selection process follows nomination, including screening and interviewing with current board members.
Date

MonthDayYear
Date
Self-Nominating or Nominating someone?
How did you hear about this opportunity?
What interests you about Family Paths?
If nominating someone else, what is your name and contact information?
Nominee's Name

First NameLast Name
Nominee's Pronouns (ex - she/her/hers, he/him/his, they/them/their)
Nominee's Email
example@example.com
Nominee's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Nominee's Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Nominee's Workplace Name, Position and Address (incl. City and Zip)
Nominee's LinkedIn URL and/or website URL
Nominee's Demographic Information
Age Group
Ethnicity

Other
Gender Identity (ex - Cis Man, Cis Woman, Gender Neutral, Gender Non-Conforming Man/Woman, Non-Binary, Transfemme, Transmasc, etc.)
LGBTQ+
Are you a parent or caregiver to a child?
Nominee could contribute expertise in the following areas (check all that apply):

Other
Relevant professional and personal skills:
Other nonprofit or board experience:
Other affiliations (individuals, corporations, foundations):
Contacts outside the area and where?
Nominee would be an asset to Family Paths' Board of Directors because:
Additional Comments?
Should be Empty:

Board of Directors Interest Form

Nominee's Demographic Information