Private Sector Representative Interest Form

Private Sector Representative Interest Form

Interested in joining our Private Sector for our Community Action Board of Directors? Mark your interest here.

View Position
Position Description

Name*

First NameLast Name
Preferred Email*
example@example.com - This would be used for official correspondence
Phone Number*
Please enter a valid phone number.
Would you like to include your Racial Identity?

YesNo
Racial Identity

Asian or Asian AmericanBlack or African AmericanHispanicMiddle EasternMulti-racialNative AmericanNative HawaiianPacific IslanderWhiteNot Listed
What language(s) do you speak?
Preferred Language
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Employer Name (if applicable)
Position (if applicable)
Please provide a brief statement about your reasons for wishing to serve on the Community Action Board of Directors as a Private Sector representative.*
Select your applicable background/skills for service on the Board. (Select all that apply.)*

Current participant in Community Action program(s) (i.e. Head State, Energy Assistance, Weatherization, rental property tenant, etc.)Low Income life experienceExperience with Community Action at an agency other than CAP-Ramsey & Washington CountiesHead Start Parent or GrandparentCurrent Head Start Policy Council memberPast Head Start Policy Council memberCommunity organizing (formal or informal)Community volunteer (parent council, PTO, youth sports coach, youth mentor, meal delivery, etc)Labor or service industry employmentEarly childhood educationElementary, secondary, or post-secondary educationFaith community member or leaderAdvocacyDiversity and inclusionRace equityFinanceAttorneyPR/CommunicationsMarketingOrganizational managementOperations managementHuman ResourcesStrategic planningResource development/fundraisingExecutive experienceResearch and evaluationPublic policyCounty servicesCity servicesEconomic developmentAffordable housingNon-profit professionalNon-profit governanceHuman services
What else do you want us to know about you, your skills, or experience as a candidate for the Board?
Please identify two individuals who will serve as a reference about your experience, skills, and abilities.*
To help us better understand our volunteers and the communities we serve, please indicate if you consider yourself to be part of a low-income household.
Are you generally available to attend meetings 1-3 times per month (1-2 hours each)?*

YesNoOther
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