Board Of Directors Application Form
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
example@example.com
How did you hear about us?
*
Are you serving as a Board Member or Trustee of another non-profit organization?
*
Yes
No
If you selected yes to the previous question, please list the organization (s)
Were you referred?
*
Yes
No
If you selected yes to the previous question, please list by whom you were referred:
Rows
Full Name
Contact Number
1
2
Will you be committed to attend regular board meetings?
*
Yes
No
How many hours a month can you serve the foundation?
*
Why do you want to become a member of the Board of Directors? Please upload your letter of interest
*
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Please provide references of any two people and their contact phone numbers:
Rows
Full Name
Contact Number
1
2
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