Renaissance Academy Board of Trustee's Application for Service

Please complete the following application for a position with our Renaissance Academy Board of Trustees.  After reviewing this application, we will be conducting interviews.

It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.

Thank you for completing this application form and for your interest in volunteering with us.

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Legal Name *
Full home address *
Preferred phone number *
Preferred email address *
What kind of vested interest do you have in Renaissance Academy? *
Please explain your educational history & experience. *
Do you hold any professional licenses? *
Why are you interested in serving on the board? *
Do you have any prior experience volunteering with non-profits or other organizations? *
Are you actively serving on any local school boards or non-profit boards? If so which? *
What makes your candidacy unique for the Renaissance Academy School Board? *
Does your professional background include: *
Are you or a family member of an employee, employed by, or have any contractual agreements, receive compensation from the Renaissance Academy presently or at any time? *
Have you ever been cited for breach of ethics for unprofessional conduct, or been named in, a complaint to any court, administrative agency, professional association, disciplinary committee, or other professional groups? *
Have you ever been convicted or entered a plea of guilty or nolo contendere or forfeited collateral for any criminal violation other than a minor traffic offense? *
Are you willing to submit to a criminal background check, FBI clearance & child abuse clearance? *
Are you now under any charges for any violation of law? *
Is there any additional information, favorable or unfavorable, which you feel should be considered in connection with your potential appointment? *
Agreement and Signature-- By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. I further understand that should I not adequately be able to fulfill my obligations as a board member, I may be asked by a majority of the Board to vacate my position prior to the end of my term. (Print name & date as documentation of electronic signature) *
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