Board of Directors Application

Board of Directors Application

Apply to join The Sacred Flower, Inc. Board of Directors. Complete all sections to be considered.
SECTION 1 – PERSONAL INFORMATION

Tell us about yourself.
Full Legal Name

First NameLast Name
Preferred Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
City and State
LinkedIn Profile URL
Current Employer
Job Title
SECTION 2 – PROFESSIONAL BACKGROUND

Share your professional experience.
Career Summary
Education Level
Years of Professional Experience
Relevant Skills (select all that apply)

Other
SECTION 3 – FINANCIAL AWARENESS

Your financial readiness and resources.
Are you comfortable with fundraising?
Are you willing to personally contribute annually?
Professional networks or resources you can leverage for the board
Income Range
SECTION 4 – BOARD ROLES

Let us know your area of interest.
Which board role(s) are you interested in?
If you are interested in the Treasurer role, describe your relevant experience
SECTION 5 – COMMITMENT

Your availability and willingness to serve.
Are you able to attend quarterly meetings?
Are you willing to serve on a committee?
Estimated monthly hours you can commit
Are you able to support events?
SECTION 6 – VALUES

Your motivation and values.
Why do you want to serve on the board?
What does empowering girls mean to you?
Describe any prior board experience you have
SECTION 7 – BACKGROUND

Background and eligibility.
Have you ever been convicted of a felony?
Are you willing to complete a background check?
Please disclose any conflicts of interest
SECTION 8 – REFERENCES

Provide two professional references.
Reference 1 Full Name
Reference 1 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference 1 Email Address
example@example.com
SECTION 9 – CONFIDENTIALITY & NON-COMPETE

Agreement to confidentiality and non-compete.
Are you willing to sign a Non-Disclosure Agreement (NDA)?
Are you willing to sign a Non-Compete Agreement?
Please enter your initials to acknowledge this section
SECTION 10 – BOARD CODE OF ETHICS

Agreement to ethical standards.
I agree to act with integrity, confidentiality, professionalism, support fundraising, avoid conflicts, and act in the best interest of The Sacred Flower. Please enter your initials to acknowledge.
SECTION 11 – CONFLICT OF INTEREST ACKNOWLEDGMENT

Disclose any potential conflicts.
Please disclose any conflicts of interest relevant to board service
Signature
Date

MonthDayYear
Date
SECTION 12 – BOARD EXPECTATIONS AGREEMENT

Commitment to board expectations.
Monthly time commitment
Please enter your initials to acknowledge board expectations
SECTION 13 – TREASURER RESPONSIBILITY ADDENDUM (if applicable)

To be completed if applying for Treasurer.
Describe your experience with budgeting, accounting, monthly reports, budgets, controls, compliance, and financial updates.
Signature (Treasurer Addendum)
Date (Treasurer Addendum)

MonthDayYear
Date
CERTIFICATION

Certification of accuracy and commitment.
I certify all information provided is true and understand board service is a professional commitment. Please sign below.
Date (Certification)

MonthDayYear
Date
Should be Empty:

Board of Directors Application

SECTION 1 – PERSONAL INFORMATION

SECTION 2 – PROFESSIONAL BACKGROUND

SECTION 3 – FINANCIAL AWARENESS

SECTION 4 – BOARD ROLES

SECTION 5 – COMMITMENT

SECTION 6 – VALUES

SECTION 7 – BACKGROUND

SECTION 8 – REFERENCES

SECTION 9 – CONFIDENTIALITY & NON-COMPETE

SECTION 10 – BOARD CODE OF ETHICS

SECTION 11 – CONFLICT OF INTEREST ACKNOWLEDGMENT

SECTION 12 – BOARD EXPECTATIONS AGREEMENT

SECTION 13 – TREASURER RESPONSIBILITY ADDENDUM (if applicable)

CERTIFICATION