Board Member Application
Please complete the form below to apply for a board position with us!
Your Contact Information
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Full Name
First Name
Middle Initial
Last Name
Current Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
example@example.com
Phone Number
Format: (000) 000-0000.
How did you hear about us?
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LinkedIn
Event
Social Media
Company Website
Family / Friend
Other
Your Skills and Experience
What is your Current Employment Status?
Full Time
Part Time
Seeking Employment
Retired
Student
Have you served or are you currently serving in the military?
Yes
No
What is your current occupation?
How long have been in your career field?
Current/ Most Recent Employer Name?
How long have you been with your current employer?
Please list your education and training experience:
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Please check all skills and experience that apply to you
What non-profit board or other volunteer experience do you have?
Working with Head of the Lakes United Way
What experience do you have with Head of the Lakes United Way? (example: committee member, funded partner, donor, volunteer, etc.)
Why are you interested in being on our Board of Directors?
Should you become a HLUW board member, would you have any potential conflict of interests?
Board meetings are scheduled for the 4th Tuesday of the month (no meetings in July, August and December) from 3:30-4:30pm. Are you available to attend at this time?
Yes
No
By clicking apply, you acknowledge that the above information is true.
Apply
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