LeadUS Mentoring Program 2015-16

Board of Directors Applicant Form
On behalf of everyone here at The Haley Graves Foundation, thank you so much for your interest in board service. We know that those with an interest in being a leadership volunteer have many choices. In our community, there are an array of remarkable organizations engaged in the important work of making our world a better place. We are humbled knowing that you are interested in us.

The following application offers us an opportunity to know more about you, your skills, attributes and what you would bring to our board. It also gives you a sense of what matters to us in any board candidate.

The goal of our process is to determine if we are a good fit for each other – your level of commitment and ability to deliver on our expectations so that we are confident that you can help us to increase the scope and impact of our work. On the other side, we want to know what motivates you and how you think about our organization so that we can help to create an excellent board experience for you.

Thank you again for your interest in our work and for taking the time to complete this application with thought and care. We look forward to reviewing it with that same level of thought and care and to continuing our conversations.
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
Home Phone
Business/Work Information
Title/Profession
Company Organization
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Work Phone
Volunteer Experience
Past and Present Membership: Boards, committees, task forces in the public sector (business, civic, community, religious, political, professional, recreational or social) Please put your Organization/Role/Title and Date of service
Other Volunteer Experience:
Why?
Those committed to volunteering in a leadership capacity have an abundance of organizations to choose from. We are most appreciative of your interest in ours and would like to hear more. Why our organization and not any other? Please share your motivation and what it is about our work that has led you to raise your hand to be a leading ambassador for us.
Our Work
What excites you about the work of our organization?
What do you see as 1-2 challenges and 1-2 opportunities for us in the next few years?
Skills/Expertise
Please mark the skills and expertise you will bring to us that will strengthen our board and enhance the ability of our organization to deliver on its mission.

Public RelationsLegal ExpertiseEvent PlanningFundraisingProfessional Nonprofit ExperienceFinancial Investment ManagementReading/Understanding budgets and balance sheetsGrant WritingAccountingPublic Policy/ AdvocacyStrategic Planning
NOTE: ADD ANY OTHER SKILLS OR EXPERTISE THAT WOULD BE IMPORTANT FOR YOUR PARTICULAR ORGANIZATION.]
Attributes
A board is more than a collection of individuals. It is an entity that governs, approves strategy and engages in robust discussion and debate on relevant issues. It must act as a single entity. As such, the personality traits you bring to the board will help us to ensure that we have a diversity of personality styles and traits that, when added to our current board members, will enhance the ability of the board members to work together as a governing body.

CollaborativeRespectful of varying points of viewWilling and able to lead a discussionEnthusiasticComfortable speaking in front of groupsManges time wellOptimisticResponsiveStrong work ethicGood sense of humorAsks tough questions with respect.
NOTE: ADD TO THIS LIST OTHER ATTRIBUTES YOU BELIEVE ARE KEY TO YOUR BOARD’S SUCCESS
Fundraising
Among other responsibilities, board members play a key role in raising funds for our organization. It is an expectation of board service that you will introduce people in your sphere of influence to our work and invite them know and do more – as prospective volunteers, board members, staff and as donors. Our organization commits to providing you with the information and tools necessary for you to stand as a vocal and visible ambassador for our work.

Further, we expect every board member to make an annual financial commitment for each year of board service. Our minimum board gift is $1000.
Can you speak to your level of comfort with this expectation?
Time
Board is an exciting and engaged working board. Board members are required to participate in a minimum of 4 board conference calls per year, 4 quarterly meetings, one annual face-to-face meeting once a year, and a minimum of 11 standing monthly committee meetings, which occur outside of regular board meetings (this can happen by phone or internet). 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 also encouraged to participate in fundraising and development activities, which include an annual gift to the Haley Graves Foundation that is personally significant and meaningful. Board members are expected to commit to the role for a minimum of one year. Will you be able to make this commitment to company?

YesNoMaybe
Do you have any concerns or potential conflicts that may serve as impediments to this time commitment? If so, how will you manage the demands on your time?
Other
Who recommended you for board service?
Have you ever been convicted, plead guilty, or plead no contest to a crime? (If yes, please explain)?
Please identify at least two references we can speak with.
Name/Relationship/ Best contact (phone or email)
RESUME Please attach your most recent resume and / or professional bio.

Cancelof
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 (i.e., resume, recommendation letters, etc.) is true, accurate, and complete to the best of my knowledge. An electronic signature is accepted.
Signature

Powered by Jotform SignClear
Date

MonthDayYear
Date
Should be Empty:

Board of Directors Applicant Form

Personal Information

Business/Work Information

Volunteer Experience

Why?

Our Work

Skills/Expertise

Attributes

Fundraising

Time

Other