Board Member Application

Board Member Application

Apply to serve on the Big Ivy Community Center Board of Directors. Please complete the applicant information, background and experience, availability and commitment, references, and certification fields. Review the board responsibilities, terms, eligibility criteria, and active working board expectations before submitting.
Applicant Information
Full Name

First NameMiddle NameLast Name
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
City
State / ZIP
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Background and Experience
List any boards, committees, or volunteer organizations served on or with
Education or Certifications
Current involvement in the Big Ivy community or surrounding area
Why are you interested in serving on the Big Ivy Community Center Board of Directors?
What strengths, ideas, or resources would you bring to the Big Ivy Community Center Board of Directors?
Statement to share with the community about you and your interest in being a Big Ivy Board Member
Additional information attachment

Cancelof
References
Reference 1 Name
Reference 1 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Reference 1 Relationship
Reference 2 Name
Reference 2 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Reference 2 Relationship
Certification and Signature
Background Check Notice
Certification
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Board Member Application

Applicant Information

Background and Experience

References

Certification and Signature