LeadUS Mentoring Program 2015-16

Be Still Board of Directors Applicant Form
Personal Information
Name

Last NameFirst Name
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
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
Business/Work Information
Title/Profession
Company Organization
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Link to Be Still Statement of Faith: https://bestillretreats.org/services/
I have read and agree with Be Still's Statement of Faith (link above).
I have a sincere interest in fighting clergy burnout.
Please list your current and past Board experiences
What are your current associations and/or club affiliations? (include titles)
Please list your professional skills and expertise
Please list your God-given gifts and talents
What experiences, expertise, connections, or resources would you bring to Be Still?
Please detail your interest in joining the Be Still Board
What type of Board tasks do you prefer?
Have you ever been engaged in any specific fundraising efforts? If so with whom?
The Be Still Board of Directors has 5 standing committees: (1) Fund Development, (2) Marketing & Communications, (3) Finance & Human Resources, (4) Board Building & Governance, and (5) Operations Buildings & Grounds. Please check all that you would be interesting in joining.
How much time would you have to dedicate to Be Still meetings, projects, and activities (a week, a month, etc…)?
The Be Still Board is an exciting and engaged working board. Board members are required to participate in a minimum of 4 board meetings per year and participate in a minimum of one monthly committee meeting, which occurs outside of regular board meetings (this can happen by phone or internet). Board members are expected to be timely and present at every meeting. Board members are also encouraged to participate in fundraising and development activities, which include an annual gift to Be Still that is personally significant and meaningful. Board members are expected to commit to the role for a minimum of three years. Will you be able to make this commitment to Be Still?
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 is true, accurate, and complete to the best of my knowledge. An electronic signature is accepted.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Be Still Board of Directors Applicant Form

Personal Information

Business/Work Information