Welcome to P.O.W.E.R. INC.
Providing Others With Empowered Resources Incorporation DBA/ P.O.W.E.R. Inc is a charitable non-profit 501 (c)(3). At P.O.W.E.R. Inc., we uphold independence while offering support, resources, and inspiration to raise awareness to prevent isolation during times of adversity. The organization serves individuals and families facing various challenges, including but not limited to: Local parents or guardians undergoing chronic hospital stays with their children and traveling families with sick children. Parents who have experienced the loss of a child due to childhood illness, miscarriages, stillbirth, sudden infant death syndrome (SIDS), and neonatal death.
Welcome to the ONBOARDING FORM
"Supporting Families Beyond the Crisis"
Demographic Information
Please provide your contact information for the most effective way to get in touch with you.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Gender
Male
Female
Perfer not to say
Age Group: Please select the age range that best represents your age.
*
18 - 24
25 - 34
35 - 44
45 - 54
55 - 65
65 or older
Perfer not to say
Race/Ethnicity: How do you describe your race or ethnicity? (Please select all that apply.)
*
White
Black or African American
Asian
Hispanic or Latino
Native American or Alaska Native
Native Hawaiian or Pacific Islander
Bi-Racial or Multiracial
Prefer Not to Say
Other
Background and Experience
The provided information will help us gain a clear understanding of your interests and skills.
Are you interested in
Board Member Position
Becoming a Volunteer
Other
Have you ever volunteered or served on a board before?
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No
Yes
What do you think the primary role of a board member or volunteer?
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Why are you interested in volunteering or serving on the board with P.O.W.E.R. INC.
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How would you handle a conflict of interest as a board member or volunteer?
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Are you familiar with P.O.W.E.R. INC.’s mission and the communities we serve?
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YES
NO
If so, how do you connect with it?
In which areas do you feel you can contribute most effectively (e.g., finance, marketing, governance, etc.)? Select All that applies.
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Events & Fundraiser
Public & Media Communication
Financial & Budgeting
Compliance & Development
Executive Team ( President, Vice President, Secretary, or Treasurer)
Other
What skills, experiences, or expertise do you bring that align with our mission?
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What is your availability or time commitment for this role?
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Have you or someone you know ever experienced the loss of a child under the age of two, for reasons such as SIDS, miscarriage, stillbirth, illness, or any other cause?
YES
NO
N/A
Have you or someone you know experienced chronic pediatric hospitalization, complications in newborns, diabetes, illness, diseases, or any related health challenges with your child?
YES
NO
N/A
6. How confident are you in your familiarity with nonprofit operations, including being a volunteer?
Not Confident
Slightly Confident
Moderately Confident
Very Confident
What day and timeframe work best for you to attend a Board of Directors or Volunteer meeting?
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Ex. Monday- Sunday between 12pm-2pm or 5pm-7pm
How do you prefer to participate in a Team Meeting?
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In-Person
Virtual
Hybrid
How much time are you able to commit to Board-related or Volunteer base events each month, including meetings, preparing for events, and other responsibilities.
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1-2 hours
3-5 hours
5-7 hours
Unsure, but flexible
Unable to commit
At P.O.W.E.R. Inc., our core value embodies trauma-informed practices and care. On a scale of 1 to 5, with 1 being not aligned at all and 5 being completely aligned, how closely do you feel your practices and approach align with this value.
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Do you see value in Skill Building training and do you think it would be beneficial for you?
YES
NO
UNSURE
Additional feedback or concerns:
*
If None, write N/A
Thank you for your commitment!
You can expect someone to reach out to you within the to assist you with the next steps.
Submit Application
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