Board of Directors Application
Thank you for your interest in serving on the Arizona Foundation for Women Board of Directors! Throughout this application we ask questions to get to know you and understand what experience you have
I. Tell Us About Yourself
Full Name
*
First Name
Last Name
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Work Address (if different from home address)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mobile Phone Number
*
Work Phone Number
Which number do you prefer we use to contact you?
Mobile
Work
Personal Email Address
*
example@example.com
Work Email Address
*
example@example.com
Which email you prefer we use to contact you?
Personal
Work
Employer/ Company Name
*
Position/ Title
*
Number of Years at Your Current Position
Do you work for a for profit company or a non-profit organization?
*
For Profit
Non-Profit
NOTE: As we are a non-profit organization we ask for specific demographic information. The information is gathered and provided or aggregated to granting organizations to demonstrate our efforts to be an inclusive organization. We do not share or sell your information.
Birthdate
*
-
Month
-
Day
Year
If you are not comfortable sharing your birth year, please enter the year "1900"
Age Range
*
25-34
35-44
45-54
55-64
65-74
75+
Are you of Hispanic, Latino, or of Spanish origin? (ethnicity)
*
Yes
No
If yes, please specify below:
Race
*
Asian or Asian American
American Indian or Alaska Native
Black or African American
Middle East or North African
Native Hawaiian or Other Pacific Islander
White
Prefer Not Disclose
Other
If you selected "Other" please specify below:
What is your current salary range?
*
Under $15,000
$15,000 - $24,999
$25,000 - $34,999
$35,000 - $49,999
$50,000 - $74,999
$75,000 - $99,999
$100,000 - $149,999
$150,000 - $199,999
$200,000 and Over
Retired
Prefer not to discose
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IV. Your Professional Experience
Current Work Industry
*
For example: Finance, Consulting, Human Resources, Government, Legal
Number of Years in Current Industry
*
Please tell us about your areas of professional expertise (check all that apply)
*
Accounting
Advocacy
Board Development
Education
Fundraising
Financial
Government Relations
Grant Writing
Healthcare
Legal
Marketing/ Public Relations
Nonprofit Management
Philanthropy
Program Management
Public Speaking
Risk Management
Special Events
Strategic Planning
Technology
Database Management
Other
What professional leadership roles have you held, and for how long?
*
If none, please enter "N/A"
Please list any of your special interests and hobbies below
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III. Your Board Experience
What types of Boards have you served on, if any?
*
Community (Any person serving as a community leader in the public sector, government, education or politics)
Corporate (Any corproration or for-profit organization)
Non-profit
Not applicable
Please list the organizations and Board of Directors you have participated on, if applicable
Please list the organizations and Board of Directors you have participated on, if applicable
Organization Name
Role
Dates of Service
Organization Name
Role
Dates of Service
Organization Name
Role
Dates of Service
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V. Matters of the Heart
Please describe in detail as you answer these questions
What do you feel you can bring to AFW and the Board of Directors?
*
Do you have a personal experience that relates to the mission of AFW? If so, we ask that you include what you're comfortable sharing with us below.
For example- volunteered at a shelter, have a friend, family member or yourself experience gender discrimination or other experience impacting women.
What do you think are the most important considerations for board composition?
Access to funding
*
Most Important
1
2
3
4
Least Important
5
1 is Most Important, 5 is Least Important
Balance of Representation
*
Most Important
1
2
3
4
Least Important
5
1 is Most Important, 5 is Least Important
Corporate Visibility and Support
*
Most Important
1
2
3
4
Least Important
5
1 is Most Important, 5 is Least Important
Individuals Representing Personal Experiences
*
Most Important
1
2
3
4
Least Important
5
1 is Most Important, 5 is Least Important
Nonprofit Affiliation
*
Most Important
1
2
3
4
Least Important
5
1 is Most Important, 5 is Least Important
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VI. Please include your LinkedIn Profile Link, Resume and Headshot
LinkedIn Profile Link
*
Additional Social Media Links
Upload Your Resume
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload Your Most Up to Date Professional Headshot
*
Browse Files
Drag and drop files here
Choose a file
This photo will be used for news release and included on the AFW website.
Cancel
of
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VII. Your AFW Connection & References
Please list any AFW board members that you are acquainted with:
If you were referred to apply by someone, please enter their name below
Please provide three professional/ personal references
Reference #1 Name:
*
Reference #1 Phone Number
Reference #1 Email:
Reference #1 Title/ Company Name
*
Relationship
*
Professional
Personal
Reference #2 Name:
*
Reference #2 Phone Number
Reference #2 Email:
Reference #2 Title/ Company Name
*
Relationship
*
Professional
Personal
Reference #3 Name:
*
Reference #3 Phone Number
Reference #3 Email:
Reference #3 Title/ Company Name
*
Relationship
*
Professional
Personal
Submit
Should be Empty: