Board Member Interest Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Date of Birth
*
-
Month
-
Day
Year
Date
Please list any current Capital Camps & Retreat Center Board members or professional staff members who can provide us a confidential recommendation of your qualifications to become a Board Member:
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How are you connected to Capital Camps & Retreat Center? Please list any programs or activities utilized by you, your business, and/or your family, past and/or present.
*
In what particular area(s) would you hope to make a meaningful contribution to the quality and effectiveness of Board/Agency functions?
*
Participation in Jewish community agencies:
*
Synagogue Affiliation (if any):
Other Affiliations (if any):
Other Board Service (if any):
Please describe any active involvement with other non-profit organizations:
Additional information that you think would be useful for us to know:
What relevant expertise or experience would you bring to the Board? (Check all that apply)
*
Administration/Management
Benefits
Entrepeneurship
Financial Management
Nonprofit Management
Accounting
Banking and Trusts
Investments
Facilities
Fundraising
Human Resources
Law
Marketing, PR
Physical or Mental Health
Technology
Risk Management
Real Estate
Strategic Planning
Special Program Focus (early childhood, camp, seniors, special needs, arts)
Other
If you checked other, please describe:
What industries do you have connections to? (check all that apply)
*
Community organizations
Corporate
Education
Media
Political
Philantrophy
Small Business
Social Services
Other
If you checked other, please describe:
Submit
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