LeadUS Mentoring Program 2015-16

The Toronto Local Charity Board of Directors Application

Thank you for your interest in becoming our Board of Directors member. If you have any questions or problems completing this application, feel free to reach out to us at laney@thelocalcharity.com. We look forward to starting a dialogue with you soon.
Personal Information
Full Legal Name*

Last NameFirst Name
Email*
example@example.com
Phone Number*
Which Board of Director role(s) are you interested in?*

General DirectorSecretaryTreasurerOther
What pronouns do you use?
Example: she/her, he/him, they/them, etc.
Why are you interested in being on The Local Charity's Board of Directors.*
(Recommended around 200 words)
Please describe the skills, interests and experience you would bring as a Board member. *
(Recommended around 200 words)
What is your experience with fundraising? Please provide details about specific campaigns, grants, or donor relationships you've cultivated or managed. The amount you've fundraised, etc. *
Please include any additional information you deem helpful for us to understand your fundraising capabilities and how you could contribute to TLC's fundraising efforts. (Recommended around 200 words)
What is your financial management experience? Please provide details about budgets you've managed, financial systems you've implemented, or audit processes you've overseen. Include the size/scope of organizations or budgets you've worked with.*
Please include any additional information you deem helpful for us to understand your financial capabilities and how you could contribute to TLC's financial stewardship.
Please attach a current copy of your resume*

Cancelof
Please share if you have a LinkedIn profile
Please refer to the scale guidance below to rate your area of expertise below:

Using a scale of High (3) to Low/Not Applicable (1) to reflect the level of experience possessed in a particular area.

Please identify your area of expertise:*

	1	2	3
Strategic Planning
Fundraising
Governance
Legal and Compliance
Marketing and Communications
Community Engagement
Human Resource
Risk Management
Diversity and Inclusion
Lived Experience

Demographic Information

(Optional)
Gender Identity

MaleFemaleOther
Ethnicity
Nationality
How much time would you have to dedicate to the charity (a week, a month, etc…)?
I have legal status in Canada*

YesNo
I am willing to sign confidentiality and privacy clauses*

YesNo
I hereby certify that the information contained in this application form is accurate and complete*

YesNo
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

Clear
Date

MonthDayYear
Date
Should be Empty:

The Toronto Local Charity Board of Directors Application

Personal Information

Please refer to the scale guidance below to rate your area of expertise below:

Demographic Information