Sunshine on a Ranney Day Advisory Board Application
Please complete the application and answer all questions as fully as possible. Provide the requested reference information and acknowledge the advisory board expectations before signing.
Applicant Information
Full Name
*
First Name
Last Name
Preferred 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
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Employer / Company
Job Title
LinkedIn Profile or Website (if applicable)
Background and Interest
How did you hear about the Sunshine on a Ranney Day Advisory Board?
Why are you interested in serving on the Sunshine on a Ranney Day Advisory Board?
*
What connects you to Sunshine on a Ranney Day’s mission?
*
Have you previously supported, volunteered with, attended an event for, or been involved with Sunshine on a Ranney Day?
*
Please Select
Yes
No
If yes, please describe.
Advisory Board Fit and Support
What strengths, experience, relationships, or skills would you hope to bring to the Advisory Board?
*
How do you feel you could contribute to this shared fundraising goal ($25,000)?
*
Are you comfortable making introductions to potential donors, sponsors, partners, vendors, or volunteers?
*
Please Select
Yes
Maybe
No
Do you have relationships with individuals, businesses, foundations, community groups, or professional networks that may be interested in learning more about SOARD?
*
Please Select
Yes
Maybe
No
If yes or maybe, please share anything you feel comfortable sharing.
Commitment and Availability
Would you be interested in hosting or helping organize a small fundraiser, awareness event, or peer-to-peer campaign?
*
Please Select
Yes
No
Maybe
Other
Are you able to commit to attending at least four meetings per year?
*
Please Select
Yes
No
Maybe
Are you willing to serve as a positive ambassador for SOARD by sharing our mission, supporting events or campaigns when possible, and helping grow awareness in the community?
*
Please Select
Yes
No
Maybe
What days or times typically work best for you for meetings?
Weekday mornings
Weekday afternoons
Weekday evenings
Saturday mornings
Saturday afternoons
Sunday afternoons
Flexible
Other
Motivation and Additional Information
What do you hope to gain from serving on the Advisory Board?
*
Is there anything else you would like us to know about you?
References
Reference Name
*
Relationship
*
Reference Email Address
*
example@example.com
Reference Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Do you have any personal, professional, financial, or organizational relationships that could create a real or perceived conflict of interest with your service on the Sunshine on a Ranney Day Advisory Board? Examples may include relationships with vendors, contractors, donors, sponsors, partner organizations, grantmakers, board members, staff, or families served by SOARD.
*
Please Select
Yes
No
If yes, please briefly explain:
Acknowledgment and Signature
I have read and understand the Advisory Board expectations
*
I agree
Applicant Signature
*
Date
*
-
Month
-
Day
Year
Date
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