Board Member Candidate Application
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
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Why do you want to become a CPHS board member?
Please describe past and current experiences in community leadership and involvement in Blair County and/or the surrounding region, particularly your ability to network and raise awareness.
Please describe your ability to build and employ relationships that will lead to significant and continuing fundraising support, including specific experience and knowledge of fundraising, planned giving, and/or grant writing.
Please describe any professional training and/or experience you have in the area of bookkeeping such as Quickbooks, Excel, or other computer financial programs.
Please describe any professional training and/or experience you have in public relations and marketing.
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Please describe any professional training and/or experience you have in running a business, managing a budget, hiring and developing staff, HR administration, etc.
Please describe any professional legal training and/or experience you have.
Please describe any training, knowledge, and/or experience you have in animal welfare/sheltering as well as any details regarding the amount of experience and, if relevant, the timeframe that you acquired such experience.
Please share your thoughts and opinions on spay/neuter, breeding, and euthanasia. Also, understanding that CPHS is considered a no-kill facility (euthanasia under 10% annually) and that policy will not change.
What do you believe may be the best way for the Humane Society to provide its mission of helping animals? How do you believe that you can contribute to that mission?
What experience do you have related to a non-profit organization? If you have previously sat on a Board of Directors, please list the years and position.
Please provide three (3) character references that the board may contact. These references should not be family members but can be previous board members. Please list the name, phone number, and best email to reach the reference.
Do you have any issue regarding the signing of a non-disclosure agreement regarding matters that come to the attention of the Board or involve any and all discussions of the Board?
Yes
No
Is there any other issue/conflict between your employment and your ability to sit on the Humane Society Board? Are there any other organizations that you are a member of that you believe there may be some issues?
What are your expectations of the time commitment of your service on the Board? Do you understand that this may involve assistance as a volunteer at one or more fundraising events put on by the Humane Society?
Do you understand that once a decision has been made by the Board, that decision is final and must be accepted by the entire Board?
Yes
No
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Please describe and list any prior contacts that you have had with CPHS and the details surrounding such contact?
Applicant's Signature
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