LeadUS Mentoring Program 2015-16

Board of Directors Applicant Form
Personal Information
Name

Last NameFirst Name
Date

MonthDayYear
Date
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
Home Phone
Format: (000) 000-0000.
Birth Date

MonthDayYear
Business/Work Information
Title/Profession
Company Organization
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please list any current and past Board experience:
What are your current associations and/or club affiliations? (include titles if possible)
Please list any skills and expertise you feel are relevant (include languages spoken):
What is your educational background?
What experiences, expertise, connections, or resources would you bring to GCSL?
Please detail your interest in joining this Board.
What type of Board tasks do you prefer? (ie. data management, website updating, fundraising, working with volunteers, event planning, survey analysis etc.)
Please let us know if you have any specific project ideas you would like to propose.
Have you ever been engaged in any specific fundraising efforts? If so with whom, how, and what was the amount raised?
The GCSL Board has 4 standing committees: (1) Protest, Appeals, Discipline (PAD) Committee (2)Play up Requests (3) Financial Aid and (4) Events and Fundraising. Please check all that you would be interesting in joining.

Other
The GCSL Board is an engaged working board. Board members are required to participate in a minimum of 8 board meetings a year which occur on the third Wednesday of each month, appropriate committee meetings. These meetings should be attended in-person though occasional zoom attendance is acceptable. Board members are expected to be timely and present at every meeting with a maximum of three absences from board meetings. Between work within and outside of meetings, hours of commitment would vary between 3-5 hours per month. Board members are also encouraged to participate in supporting the rec league activities, club fundraising and community building activities. Board members are expected to commit to the role for a minimum of two years. Will you be able to make this commitment to the league?
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.

I certify, by my signature, that the information contained within this application and all supporting documents (i.e., resume, recommendation letters, etc.) is true, accurate, and complete to the best of my knowledge. An electronic signature is accepted.
Signature
Date

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Date
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Board of Directors Applicant Form

Personal Information

Business/Work Information