Board Member Application
Halee's Haven
D.B.A: Healing Hope
Full Name:
Address:
Phone Number:
Format: (000) 000-0000.
Email Address:
example@example.com
Professional Background
Current Employer & Position:
Previous Relevant Experience:
Skills/Expertise (check all that apply):
Finance
Fundraising
Legal
Marketing
Community Outreach
Other
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Community Involvement
Current or Past Volunteer Roles:
Other Boards Served On:
Interest in Serving
Why are you interested in serving on our board?
What strengths or perspectives would you bring to the board?
Commitment
Attend regular board meetings?
Yes
No
Participate in fundraising efforts?
Yes
No
Serve on committees as needed?
Yes
No
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Comply with all policies, procedures, and ethical standards set forth by the organization?
Yes
No
Disclosure
Have you been previously associated with a current member of this board or staff?
Yes
No
If yes, please explain:
Do you have any financial relationship with any current board members or staff of this organization?
Yes
No
If yes, please explain:
References
Name:
Contact Information:
Name:
Contact information:
Name:
Contact information:
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I certify that the information provided is accurate and that I understand the responsibilities of serving as a board member.
Signature:
Date:
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Month
-
Day
Year
Date
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