Board Positions Committee Application

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

Please note: You will be asked to upload a copy of your resume and a proffessional headshot. If you do not have this informaiton at this time you can still complete the form and send your resume and headshot to Idelle Erickson, at idelle.erickson@girlscoutsrv.org.
Name: *

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

Area Code Phone Number
Work Phone Number:

Area Code Phone Number
How would you like us to contact you? *

By phone By email
Which phone number should we use to contact you? *

Mobile Work
Home Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Business Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
How did you hear about us? *

Girl Scouts River Valleys Member or Staff A Women of Distinction Event Personal referral
Since you indicated that you were referred to us by a Girl Scout River Valleys member, Girl Scouts River Valleys staff or another personal referral, please list the referrer name and contact information below.
Referrer Name *

First Name Last Name
Referrer Phone Number *

Area Code Phone Number
Referrer Email Address: *
example@example.com
I am interested in serving the:

Board of Directors Board Development Committee Audit Committee Finance Committee Investment Sub-Committee Executive Talent and Compensation Committee
Please indicate you areas of experience or expertise (check all that apply) *

Advocacy/Policy Business Analysis/Planning Finance Fundraising Governance Human Resources Legal Marketing/Communications Mission Specific Expertise Nonprofit Management Real Estate Social Enterprise Social Media Strategic Planning Technology
How would you describe yourself?

American Indian or Alaska Native Asian Black or African American Hispanic or Latino Native Hawaiian or Other Pacific Islander White I prefer not to disclose
What is your age range? *

18-25 26-40 41-55 56-67 67+ I prefer not to disclose
What is your gender? *

Female Male Transgender I prefer not to disclose
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 Idelle.Erickson@girlscoutsrv.org.
Are you able to upload a copy of your resume now? *

Yes No, 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. *

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Employment

Please provide information about your most recent employment history below.
Company Name: *
Company Location: *
Your Position: *
From/To: *
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:
From/To:
Girl Scout Volunteer Experience

Please provide information about your Girl Scout volunteer experiences.
Council/Location:
Position:
From/To:
Essay Questions

Please answer the following questions as thoroughly 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? *
Please upload a recent professional headshot. You can also send your headshot to Idelle Erickson, at idelle.erickson@girlscoutsrv.org.

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

Girl Scouts River Valleys Board, Board Committee, and Board Development Committee Application

Background and Experience

Employment

Education

Volunteer Experience

Girl Scout Volunteer Experience

Essay Questions