LeadUS Mentoring Program 2015-16

Board of Directors Applicant Form
After your application has been reviewed, you may be asked to interview so we can get to know you better.

Thank you for your interest in joining the TTI Board of Directors.
Personal Information
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Phone Type

Cell PhoneWork PhoneHome Phone
Business/Work Information
Are you retired? If so, please list your most recent position.

YesNo
Title/Profession
Company Organization
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please list your skills and expertise.
What are your current associations and/or club affiliations?
Please list your current and past Board experiences.
Please detail your interest in joining our Board.
What do you feel would be your biggest contribution to the TTI Board? For example, experience, expertise, connections, or resources that will benefit the organization's mission.
Please let us know if you have any specific project ideas you would like to propose.
Are you a person in recovery?
The TTI Board of Directors meets monthly for approximately 2 hours. Additional meetings and/or email requests may also take place when monthly meetings are not sufficient. Board members are encouraged to participate in fundraising and development activities. 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
Should be Empty:

Board of Directors Applicant Form

Personal Information

Business/Work Information