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Board of Directors Application
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Home Address
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Your answer
City
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Your answer
Zip Code
*
Your answer
Business Affiliation/Title
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Your answer
Business Address
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Your answer
Location of Business (City)
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Your answer
Business Zip Code
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Your answer
Are you serving as a Board Member or Trustee of another non-profit organization?
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Yes
No
If you selected yes to the previous question, please list the organization (s)
Your answer
What is your experience as a member of the Board of Directors?
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Your answer
How did you learn about us?
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Your answer
Were you referred? If so, by whom?
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Your answer
Will you attend regular board meetings?
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Yes
No
Maybe
How many hours a month can you serve the foundation?
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Your answer
Will you attend the annual board retreat/strategic planning meeting?
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Yes
No
Maybe
Why do you want to become a member of the Board of Directors?
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Your answer
Please provide references and contact phone numbers
*
Your answer
A copy of your responses will be emailed to the address you provided.
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