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Board Application

Board Application

Thank you for your interest in joining the West Grand Neighborhood Organization Board. Please select start to begin the application.
32Questions
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    • Netherlands Antilles
    • New Caledonia
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    • Niger
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    • Norway
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    • Panama
    • Papua New Guinea
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    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • United States
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Other
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  • 4
    Please enter your cell phone number.
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  • 5
    If you have a landline, please enter it here.
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  • 6
    Enter your birthdate.
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  • 7
    Please add the following social media profiles if you have them.
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  • 8
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    • Renter
    • Homeowner
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  • 9
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    • Man
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  • 10
    Please choose only one.
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    • American Indian or Alaskan Native
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    • Multiple ethnicity/ Other (please specify)
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  • 11
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  • 12
    Please let us know who you work for and your job title.
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  • 13
    Type in your employer address below.
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    • Please Select
    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Aruba
    • Australia
    • Austria
    • Azerbaijan
    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burundi
    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
    • Central African Republic
    • Chad
    • Chile
    • China
    • Christmas Island
    • Cocos (Keeling) Islands
    • Colombia
    • Comoros
    • Congo
    • Cook Islands
    • Costa Rica
    • Cote d'Ivoire
    • Croatia
    • Cuba
    • Curaçao
    • Cyprus
    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Ethiopia
    • Falkland Islands
    • Faroe Islands
    • Fiji
    • Finland
    • France
    • French Polynesia
    • Gabon
    • The Gambia
    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
    • Guatemala
    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Honduras
    • Hong Kong
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Israel
    • Italy
    • Jamaica
    • Japan
    • Jersey
    • Jordan
    • Kazakhstan
    • Kenya
    • Kiribati
    • North Korea
    • South Korea
    • Kosovo
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • United States
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Other
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  • 14
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  • 15
    Type in Business phone number below.
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  • 16
    This would go into your Biography on the WGNO Board member webpage. Example:
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  • 17
    If voted on the board, this image will be used for your biography on our WGNO Board Member webpage.
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  • 18
    Type your answer in each box.
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  • 19
    Please type your answer below.
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  • 20
    Please list those affiliations and title if you had one.
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  • 21
    Type your answer below.
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  • 22
    Check 3 boxes
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  • 23
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  • 24

     

    WGNO’s Board is an exciting and engaged working board. Board members are expected to commit to the role for a minimum of two years.

    Board members are required to participate in:

    • A minimum of 2 events per year
    • One Annual Meeting once a year
    • A minimum of 6 standing board meetings
      • 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 expected to participate in fundraising and development activities.
    • Board members are also required to be a member of the organization, this can be done through:
      • Either an annual membership to WGNO OR
      • Participate in monthly giving that is personally significant and meaningful.

    Will you be able to make this commitment to WGNO?

     

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  • 25
    Please choose yes or no.
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  • 26

    Disclosure


    I hereby state that I,          ,    or a member of my family, have the following affiliations or interests and/or have taken part in agreements or arrangements that might constitute a "conflict of interest."

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  • 27

    Types of "Conflict of Interest:"

     

    Business Relationship: Please identify and describe any business arrangements you or a family member have with the West Grand Neighborhood Organization.

     

    Employment Relationship external to West Grand Neighborhood Organization: Please describe any employment relationship(s) you have in addition to your employment with West Grand Neighborhood Organization.

     

    Outside Activities: Please describe any activities in which you are engaged that may be for personal gain and could be and could be perceived as conflict-of-interest according to West Grand Neighborhood Organization’s policy, definition, and clarification statements.

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  • 28
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  • 29
    List any that may fall into this category.
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  • 30

     

    After your application has been reviewed you may be asked to interview in order for us to better get to know you. Thank you for your interest.


    I certify, by my signature, that the information contained within this application and all supporting documents is true, accurate, and complete to the best of my knowledge. An electronic signature is accepted.

     

    West Grand Neighborhood Organization, does not discriminate on any basis including race, sex, age, religion.

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  • 31
    Please sign below.
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  • 32
    Today's date is:
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