LeadUS Mentoring Program 2015-16

Visceral Dance Board of Directors Application
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Format: (000) 000-0000.
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What is your educational background?
Please list any of your skills and expertise that you would like to share:
Can you share an experience you've had working with individuals of diverse ethnic and gender identities, and how it influenced your perspective or approach?
What is your connection with Visceral Dance?
What specific experiences, expertise, connections, or resources would you bring to Visceral Dance?
Please list your current and past Board experiences:
Please detail your interest in joining the Visceral Board:
Have you ever been engaged in any specific fundraising efforts? If so with whom, how, and what was the amount raised?
Please let us know if you have any specific project ideas you would like to propose:
Visceral Board is an exciting and engaged working board. Our Board members are required to participate in monthly board and committee meetings (this can happen by Zoom or in person). Board members are also encouraged to participate in fundraising and development activities, which include an annual Gala and other fundraising events. Board members are expected to commit to the role for a minimum of one year. Will you be able to make this commitment to the company?
After your application has been reviewed you may be asked to interview in order for us to better get to know you.

Thank you for your interest.

I certify, by my signature, that the information contained within this application and resume is true, accurate, and complete to the best of my knowledge. An electronic signature is accepted.
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Visceral Dance Board of Directors Application

Personal Information

Business/Work Information