Board Member Application
Thank you for your interest in serving on the Board of Directors of Family Legacy Network, Inc. Please complete this application in full. All information is kept confidential and reviewed by the Board Members and Executive Director. Incomplete applications will not be considered.
Personal Information
First Name
*
Last Name
*
Preferred Name or Nickname
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
City
*
State
*
LinkedIn Profile URL
Facebook Profile URL
Instagram Profile URL
Board Role Interest
Which board role are you applying for?
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Please Select
Vice President
Board Chairperson
Vice Chairperson
Development & Fundraising Chair
Marketing & Communications Chair
Programs Committee Chair
Community Advocacy Chair
Legal Counsel (Subject Matter Expert)
Corporate & Business Development (Subject Matter Expert)
Youth & Education Specialist (Subject Matter Expert)
Technology Advisor (Advisory Role)
Transportation Committee Chair
Housing Committee Chair
Why are you interested in this specific role?
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Professional Background
Current Job Title
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Current Employer / Organization
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Industry / Field
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Please Select
Nonprofit / Social Services
Education / Academia
Law / Legal Services
Healthcare / Public Health
Business / Corporate
Marketing / Communications / PR
Technology / IT
Government / Public Policy
Faith-Based / Community Ministry
Finance / Accounting
Entrepreneurship / Small Business
Other (please specify)
Years of Professional Experience
*
Please Select
0–5 years
6–10 years
11–20 years
20+ years
Resume or CV (PDF or Word only; confidential)
*
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Skills & Expertise
Skills & Expertise
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Fundraising & Development
Housing
Transportation
Grant Writing
Marketing & Branding
Social Media & Digital Strategy
Public Relations / Media
Nonprofit Governance & Compliance
Legal Services
Financial Management / Accounting
Program Design & Evaluation
Youth Development & Education
Community Organizing & Advocacy
Corporate Partnerships & Sponsorships
Technology / IT / Cybersecurity
Human Resources
Event Planning
Public Speaking
Strategic Planning
Other
Briefly describe your top 2–3 skills you would bring to this board
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Community Connection
Are you currently connected to or involved in the Metro Atlanta / Clayton / Gwinnett County community?
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Yes
No
If yes, please describe your community ties and networks
Are you affiliated with any of the following?
Local Chamber of Commerce
Faith-Based Community / Church
Civic or Fraternal Organization (e.g., Greek organizations, Rotary, NAACP)
School District / University
Local Government or Public Agency
Other
Availability & Commitment
Are you able to attend monthly board meetings?
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Yes
Sometimes
No
Are you willing to actively participate in fundraising efforts?
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Yes
Maybe
No
Are you willing to volunteer at events and programs?
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Yes
Maybe
No
Approximately how many hours per month can you dedicate?
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Preferred Meeting Format
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Please Select
Virtual
In Person
Hybrid
Are you willing to serve a minimum 1-2 year term?
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Yes
Maybe
No
Background & Compliance
Have you ever been convicted of a felony?
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Yes
No
If yes, please explain
Are you willing to complete a background check if required?
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Yes
No
Do you have any conflicts of interest that may affect your board service?
I certify that the information provided is accurate and complete.
*
Yes
Electronic Signature
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Date Signed
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-
Month
-
Day
Year
Date
Optional Contributions & Partnerships
We have a "give or get" policy that each board member is required to contribute of $1,000. Are you willing to adhere to this policy?
*
Yes
No
Do you own or operate a business?
Yes
No
Would your company be interested in sponsorship or partnership opportunities?
Yes
No
Areas you may be able to support
Sponsorships
Housing
Donations
Mentorship
Venue Space
Marketing
Professional Services
Grant Writing
Technology Support
Food Services
Transportation
Educational Workshops
Internship Opportunities
References
Reference 1 Full Name
*
First Name
Middle Name
Last Name
Reference 1 Relationship
*
Reference 1 Company/Organization
*
Reference 1 Email Address
*
example@example.com
Reference 1 Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Reference 2 Full Name
*
First Name
Middle Name
Last Name
Reference 2 Relationship
*
Reference 2 Company/Organization
*
Reference 2 Email Address
*
example@example.com
Reference 2 Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Submit Application
Submit Application
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