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 Idelle Erickson at idelle.erickson@girlscoutsrv.org.
Name: *

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

Area Code Phone Number
Phone Number *

Mobile Home Work
Secondary Phone Number:

Area Code Phone Number
Secondary Phone Number

Mobile Home 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 Women of Distinction or Celebrate Changemakers events Personal referral
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 Name Last Name
Referrer Phone Number *

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

Board of Directors Board Development Committee Audit Committee Finance Committee Investment Sub-Committee Executive Talent and Compensation Committee
Indicate your 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
Are you of Hispanic, Latino, or Spanish origin? *

Yes No Do not wish to answer
How would you describe your ethnicity? *

Native American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White Do not wish to answer
Which category below includes your age? *

17 or younger 18-25 26-40 41-55 56-67 67+ 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 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: *
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 Idelle Erickson at idelle.erickson@girlscoutsrv.org

Browse Files
Accepted file types: pdf, jpg, jpeg, png, gif, zip Cancel of
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