LeadUS Mentoring Program 2015-16

Board of Directors Applicant Form
Personal Information
Name

Last NameFirst Name
Email
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred phone
Demographic Information
Are you over the age of 18?

YesNo
What is your gender identity?
What is your race/ethnicity?
Have you ever been involved in the adult or juvenile justice system? If yes, please describe the outcome.
Have you ever been accused of a sex offense or child abuse?

YesNo
Are you willing to submit to a background check and fingerprinting?

YesNo
Business/Work Information
Please describe your current employment and role within the organization.
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
Please indicate any areas of expertise/contribution you feel you can make to further the mission of ECOC

FundraisingSpecial EventsMarketingPolicy DevelopmentStrategic PlanningSocial MediaVolunteer RecruitmentPublic PoliciyEvaluation and designFinancial accountabilityAdvocacy
What is your educational background?
What experiences, expertise, connections, or resources would you bring to Educating Children of Color?
Please detail your interest in joining this Board
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 ECOC with fundraising efforts?
ECOC’s Board is a working board. Board members are required to participate virtually in 12 monthly board meeting on the second Wednesday of each month at 5:30 pm; one Board retreat annually; chair a committee and participate in the Summit Planning Committee which meets virtually the first Wednesday of every month at 7:00 pm. Board members are expected to be present at every meeting with a maximum of two absences from board meetings. Board members are also encouraged to participate in fundraising and development activities, which include an annual gift to ECOC that is personally significant and meaningful. Board members are expected to commit to the role for three years.
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.

Educating Children of Color, does not discriminate on any basis including race, ethnicity, gender identity, sexual orientation, ability, age or religion.
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Board of Directors Applicant Form

Personal Information

Demographic Information

Business/Work Information