PSI-TX Board of Directors Application

PSI-TX Board of Directors Application
Personal Information
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Birth Date

MonthDayYear
Demographic Information
Gender Identity

Other
Ethnicity and Nationality
Business/Work Information
Title/Profession
Company Name
Why are you interested in joining the PSI-Texas Board?
Which Board role(s) are you most interested in? (Social Media Chair, Scholarship Chair, Fundraising Chair)
Please list your current and past Board experiences.
What are your current associations and/or club affiliations? Please include titles if possible.
Please list relevant skills and expertise.
How many hours per month can you contribute to Board service? Are there any limitations that may prevent you from serving at full capacity?
What qualities do you believe make a good Board candidate?
Please describe in details some of your greatest strengths and weaknesses.
What do you hope to accomplish in your time on the Board?
Who in your personal and/or professional network can you involve in the organization?
PSI-TX Board members are required to participate in a minimum of 7 monthly Board meetings per year. Board members are expected to be timely and present at every meeting with a maximum of three absences. Board members can expect to dedicate 5-10 hours per month to Board work and meetings, and are expected to commit to the role for a minimum of one year unless otherwise agreed upon. Will you be able to make this commitment to PSI-TX?
Do you have any fundraising experience?
IMPORTANT: Please email a copy of your updated resume to psitexas@postpartum.net with the subject line: PSI-TX Board Application.

Thank you for your interest. We will be in touch shortly!

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:

PSI-TX Board of Directors Application

Personal Information

Demographic Information

Business/Work Information