Applicant Information:
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Employer
Position / Title
Back
Next
Applicant Qualifications
Describe your education, experience, and skills that will add value to the Board:
On what other Boards do or have you served?
What charitable or community activities have you been part of?
What, if any, conflicts could prevent you from regularly attending Board meetings:
How many hours per month, in addition to meetings, could you serve this organization?
Would you attend a training session for new Board members?
Would you make an annual financial commitment to support this organization?
Please write a brief statement of your understanding of this organization's mission.
Other information you would like to include:
Resume / CV Upload (optional)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Back
Next
References
Please provide three references we can contact about your application.
Name
First Name
Last Name
Relationship:
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Name
First Name
Last Name
Relationship:
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Name
First Name
Last Name
Relationship:
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Back
Next
As a Board, we strive and value diversity and each member’s expertise; therefore, we are asking for information related to ethnic background, gender, age, disabilities, personal style, experience, skills, and community affiliations. This background information will help ensure our board is reflective of our community. This information is confidential, and providing the information is optional but would be greatly appreciated.
Ethnic Background
African American
Asian / Pacific Islander
Caucasian
Hispanic / Latino
Native American
Other
Gender
Female
Male
Non-bianary / Other
Age
Under 21
21 - 34
35 - 50
50 - 65
Over 65
Disabilities
Difficulty walking/climbing stairs
Vision difficulty
Hearing difficulty
Use a wheelchair
No disability
Other
Pick the statement that is most important for you.
I want to get it done.
I want to make sure we get it right.
I want to be heard and appreciated.
I want people to get along.
Personal Style (Check all that apply)
Attentive to Detail
Practical Worker Bee
Strategic Thinker
Strong Communicator
Team Player
Visionary
Critical Thinker / “Devil’s Advocate”
Expertise & Skills (Check all that apply)
Administration / Operations
Advocacy / Legislative Relations
Board Experience
Budgeting / Financial Management
Evaluation / Assessment
Facility Management / Construction
Fundraising: Corporate / Individual
Fundraising: Grant writing
Leadership
Legal
Marketing / Media / Public Relations / Social Media
Membership Development
Partnership Development with Key Groups
Personnel / Human Resources
Project Management
Program – Training / Consulting
Strategic Planning
Technology
Volunteer Management
Community Affiliation (Check all that apply)
Corporate – Business
Education – Public Sector
Foundation / Philanthropic
Nonprofit Community
Faith-based / Church Leadership
Government (elected or appointed)
Veteran
Other
Submit
Should be Empty: