Lexington Pride Center Board of Directors Application

Board of Directors Application Form
Personal Information
Name

First NameLast Name
Preferred pronouns
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
Demographic Information
Ethnicity
Nationality
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
Format: (000) 000-0000.
Please list your current and past Board experiences
What are your current associations and/or club affiliations? (include titles if possible)
Please list your skills and expertise
What is your educational background?
Please describe in details some of your greatest strengths and weaknesses
What do you feel is essential to ensure that the Board and staff are successful in attaining the goals for this organization?
What experiences, expertise, connections, or resources would you bring to the Lexington Pride Center Board?
Please detail your interest in joining this Board
What type of Board tasks do you prefer?
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 Company Board will initially have 4 standing committees: (1) Board Building & Governance, (2)Development, (3) Finance & Human Resources, and (4) Program. Please check all that you would be interesting in joining.

Other
How much time would you have to dedicate to the company (a week, a month, etc…)?
The Lexington Pride Center Board is an exciting and engaged working board. We ask all board members to contribute of their time, talent, and treasure to ensure the organization is successful. This includes attending board meetings, participating actively in committees, bringing your professional background and networking to the organization, and donating to the organization. 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 Lexington Pride Center?
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

MonthDayYear
Date
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Board of Directors Application Form

Personal Information

Demographic Information

Business/Work Information