BGC Board of Directors Application

Board of Directors APPLICATION
Thank you for your interest in serving on our Board of Directors. Your leadership helps shape the future for young people in Harrison and Crawford Counties. Please complete all sections as thoroughly as possible — this helps us ensure the strongest fit between your skills and our needs.
01 PERSONAL INFORMATION
Full Name
Email Address
example@example.com
Home / Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Daytime Phone
Format: (000) 000-0000.
Evening / Cell Phone
Format: (000) 000-0000.
Date of Application

MonthDayYear
Date
Preferred Pronoun(s) optional
02 PROFESSIONAL BACKGROUND
Current Employer
Job Title
Employer Address
Work Phone
Format: (000) 000-0000.
03 BOARD & COMMUNITY SERVICE HISTORY
List boards, committees, or civic roles you currently hold or have held (business, nonprofit, civic, religious, professional, recreational, etc.).

03 BOARD & COMMUNITY SERVICE HISTORY List boards, committees, or civic roles you currently hold or have held (business, nonprofit, civic, religious, professional, recreational, etc.).

Rows	Organization / Group	Your Role / Title	Dates of Service
1
2
3

07 YOUR VISION & VALUE
Why do you want to serve on the Board of Directors? What draws you to this role at this point in your life or career?
What experiences, skills, or perspectives make you a strong candidate? Consider professional work, volunteer experience, lived experience, or community knowledge.
How do you believe the Boys & Girls Club would benefit from your involvement? Consider specific ways you could contribute beyond attending meetings.
Are there any goals, challenges, or opportunities you'd like to help address during your term? This is your chance to share your vision.
Do you know anyone currently on the Board or staff? Name(s), if yes:
08 AVAILABILITY & COMMITMENT
Board members are expected to attend at least 3/4 of all Board meetings held each year and participate in at least two (2) BGC community events annually.
Applicant Signature
Date

MonthDayYear
Date
Should be Empty:

Board of Directors APPLICATION

01 PERSONAL INFORMATION

02 PROFESSIONAL BACKGROUND

03 BOARD & COMMUNITY SERVICE HISTORY

04 EDUCATION & CREDENTIALS

05 COMMUNITY CONNECTIONS

06 AREAS OF EXPERTISE & INTEREST

07 YOUR VISION & VALUE

08 AVAILABILITY & COMMITMENT