Board Positions Committee Application

Board of Directors, Board Committee, and Board Development Committee Application
This form is for individuals who are interested in serving on the Girl Scouts of Minnesota and Wisconsin River Valleys Board of Directors, Board Committees, or Board Development Committee. This information may also be used for press releases, demographic reports, and to help with committee assignments.

Questions? Contact Kenya Flowers at kenya.flowers@girlscoutsrv.org.
Name:*

First NameLast Name
Email Address:*
example@example.com
Phone Number:*
Phone Number*

MobileHomeWork
Secondary Phone Number:
Secondary Phone Number

MobileHomeWork
Home Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Business Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
How did you hear about us?*

Girl Scouts River Valleys Member or StaffWomen of Distinction or Celebrate Changemakers eventsPersonal referralOther
Since you indicated that you were referred to us by a Girl Scout River Valleys member, staff or another personal referral, please list the referrer name and contact information below.
Referrer Name*

First NameLast Name
Referrer Phone Number*
Referrer Email Address:*
example@example.com
I am interested in serving on the:

Board of DirectorsBoard Development CommitteeAudit CommitteeFinance CommitteeInvestment Sub-CommitteeExecutive Talent and Compensation CommitteeDiversity, Equity, Inclusion, Access, and Racial Justice CommitteeOther
Indicate your areas of experience or expertise (check all that apply)*

Advocacy/PolicyBusiness Analysis/PlanningFinanceFundraisingGovernanceHuman ResourcesLegalMarketing/CommunicationsMission Specific ExpertiseNonprofit ManagementReal EstateSocial EnterpriseSocial MediaStrategic PlanningTechnologyYouth ProgrammingOther
Are you of Hispanic, Latino, or Spanish origin?*

YesNoDo not wish to answer
How would you describe your ethnicity?*

Native American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhiteDo not wish to answerOther/Prefer to self-describe
Which category below includes your age?*

17 or younger18-2526-4041-5556-6767+I prefer not to disclose
Gender (Optional)
Background and Experience

Please provide information on your educational, employment, and volunteer background below. You may upload a copy of your resume to this form, or you can send a copy of your resume to kenya.flowers@girlscoutsrv.org.
Are you able to upload a copy of your resume now?*

YesNo, but I will email a copy of my resume later.No, I will fill out the background and experience questions below instead of sending my resume.
Please upload a copy of your resume.*

Accepted file types: pdf, doc, docx, jpg, jpeg, png, txt, rtf, zip
Cancelof
Employment

Please provide information about your most recent employment history below.
Company Name:*
Company Location:*
Your Position:*
How long?*
Education

Please provide information about your education history below.
Please describe your educational background:*
Volunteer Experience

Please provide information about your most recent volunteer experiences.
Organization/Location:
Position:
How long?
Girl Scout Volunteer Experience

Please provide information about your Girl Scout volunteer experience (if any; not required)
Council/Location:
Position:
How long?
Essay Questions

Tell us more! Please answer the following in as much detail as possible.
Why are you interested in serving Girl Scouts River Valleys?*
If you are selected, how do you feel you could contribute to the success of Girl Scouts River Valleys?*
Upload a recent headshot. You can also send your photo to Kenya Flowers at kenya.flowers@girlscoutsrv.org

Accepted file types: pdf, jpg, jpeg, png, gif, zip
Cancelof
Should be Empty:

Board of Directors, Board Committee, and Board Development Committee Application

Background and Experience

Employment

Education

Volunteer Experience

Girl Scout Volunteer Experience

Essay Questions