LeadUS Mentoring Program 2015-16

Leadership Advisory Council Application

Thank you for your interest in joining the Leadership Advisory Council at Embrace Abilities! Please complete the form below to help us learn more about you and how your expertise can support our mission.
Personal Information
Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Format: (000) 000-0000.
Understanding Embrace Abilities
Are you familiar with Embrace Abilities’ mission and programs?*

YesNo
If no, our mission is to build an inclusive community by offering engaging programs and supportive networks that empower individuals to thrive, connect, and reach their full potential. Our vision is to create a world where children of all abilities can achieve their fullest potential in a vibrant and supportive community. Visit our website at https://embraceabilitiesms.org/ to learn more about our programs and see inclusion in action!
Why does our mission resonate with you, and how do you see yourself contributing to it?*
Expertise and Interest
What areas of expertise can you bring to the Leadership Advisory Council? (Check all that apply):*

Fundraising and Grant WritingPublic Relations and Media OutreachVolunteer ManagementFinancial Planning and BudgetingMarketing and BrandingCommunity Outreach and Partnerships
Responsibilities and Commitments
Attend quarterly council meetings (virtually or in-person) to provide governance and oversight. Are you able to commit to attending quarterly council meetings?*

YesNo
How many hours per month can you commit to council activities (e.g., meetings, advising)?*
If not, what are you realistically able to commit? (Please provide an estimate of the time you can contribute per month):
Have you served on any advisory councils or in leadership roles before?*

YesNo
Is there anything else you’d like us to know?
Please provide a brief professional bio or upload your resume:
Optional Supporting Documents
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By submitting this application, I understand that the Leadership Advisory Council is a non-voting, advisory role with a flexible time commitment of ~2–4 hours per month, including quarterly meetings.

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.
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Leadership Advisory Council Application

Personal Information

Understanding Embrace Abilities

Expertise and Interest

Responsibilities and Commitments

Optional Supporting Documents