Community Impact Council Member Application

Community Impact Council Member Application

Apply to become a member of the Community Impact Council
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Home Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Preferred Pronouns*
Do you have any volunteer or leadership experience related to community work?*
Please list any organizations or groups you are currently involved with, this includes current volunteer work and board service.*
Please describe career experience or field background.*
Why are you interested in joining the Community Impact Council?*
Can you share your thoughts about challenges for a person or family living in poverty?*
What are the focus areas of United Way of Amarillo & Canyon, you can access this information in our latest Community Status Report or on our website uwamarillocanyon.org?*
At United Way of Amarillo & Canyon we fund programs that remove barriers for A.L.I.C.E individuals and Families. Can you please define A.L.I.C.E. here? (you can find information about this on our website and at unitedforalice.org)*
Are you available to attend regular council meetings? These are lunch meetings that occur 2 times a year. You will have to commit to attend community impact program provider fair at which you will hear from all applicants and current program providers this will also occur over a lunch hour in the fall, thought this meeting will be a bit longer than others. You will also have to commit to an allocations meeting in January each year. This is a total of 4 meetings each year/funding cycle.*

YesNoMaybe
Reference Name*

First NameLast Name
Reference Email*
example@example.com
Should be Empty: