Board Member Application
Thank you for your interest in Habitat for Humanity, Wayne County.
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Please describe your current or past profession and your responsibilities
Include employer, type of business, etc.
Please tell us where you went to high school and college:
Include favorite subjects, activities, etc.
Habitat Involvement
If you have been involved with Habitat prior to this experience please tell us about it.
Please tell us why you wish to join the board of directors
Community Involvement
Please describe your past or current community involvement – boards or committees you have served on (civic,religious, political, social, community, professional):
How do you believe membership on Habitat’s Board of Directors will enhance your community experience?
Board Skills
Please describe the skills/areas of expertise you will bring to the Habitat Board of Directors
Please describe how you would handle a conflict if you disagreed with the general consensus of the Board
As a Board member, your fundamental role is to oversee the implementation of the organization’s mission. This includes exercising your fiduciary duty to ensure that the organization’s financial resources are effectively managed and sufficient to assure the organization’s long-term financial viability. Please describe to what degree you would feel personally responsible for Habitat’s finances.
Please list any groups, organizations or businesses that you could serve as a liaison to on behalf of Habitat.
Skills, Experience, and Interests
Finance/Accounting
Personnel, Human Resources
Administration/Management
Community Service
Policy Development
Program Evaluation
Public Relations/Communications
Education/Instruction
Special Events
Grant Writing
Fundraising
Outreach/Advocacy
Construction
Property Development
Clergy/Faith Relations
Other
Personal Interests
Please describe your own special vocational interests, personal talents, hobbies, use of free time.
Other
Please use this space to tell us anything else you would like us to know about you.
Should be Empty: