LeadUS Mentoring Program 2015-16

Board Member Information Form
Personal Information
Date Completed

MonthDayYear
Date
Name*

Last NameFirst Name
Preferred Email for Board Correspondence
example@example.com
Personal Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Business/Work Information
Title/Profession
Company/Organization
Why do you want to serve on the founding board of This n’ That Creative Studio?What about our mission resonates with you personally or professionally?
What skills, experience, or community connections would you actively contribute as a board member? Please include areas such as fundraising, finance, legal, marketing, education, nonprofit leadership, community outreach, or lived experience. Also note how much time you can realistically commit each month.
Founding board members help build organizations from the ground up.Please share an example of when you helped grow, lead, or support an organization, project, or cause—especially during a challenging or transitional time.
Are you willing to support fundraising efforts for This n’ That Creative Studio?This may include personal giving, connecting the organization to potential donors, sponsorships, or serving as an advocate.☐ Yes ☐ No ☐ Maybe (please explain)
Why do you believe creativity and access to the arts matter for children and families?
Headshot (Upload Here)

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Statement of Commitment
By submitting this application, I understand that founding board service requires active participation, collaboration, and accountability. I am willing to support the mission and long-term sustainability of This n’ That Creative Studio.
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Board Member Information Form

Personal Information

Business/Work Information