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NCAP Board of Directors Candidate Application
Please complete this application to be considered for the Northwest Center for Alternatives to Pesticides Board of Directors.
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Email
*
Your email
Your Name
Your answer
Phone Number
Your answer
Address
Your answer
Preferred Method of Contact
Your answer
Employer Name
Your answer
Your Title
Your answer
Employer Address and Phone Number
Your answer
Type of business or organization
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Primary service(s) and area/population served
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How did you first hear about NCAP?
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Please tell us about your experience with non-profits:
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What passions draw you to serve on the board of NCAP?
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Please describe, as you are comfortable sharing, any experience you have had working with pesticides, being exposed to pesticides, etc.
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Please tell us about any anti-racism, DEI, trauma-informed, and/or social justice trainings, work or lived experiences you would bring to the organization.
Your answer
Please list boards and committees that you serve on, or have served on (business, civic, community, fraternal, political, professional, recreational, religious, social). Prior board service is not a requirement.
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Have you received any awards or honors that you’d like to mention?
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How would NCAP benefit from your involvement on the board?
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How can NCAP help you achieve your goals by serving on the NCAP board?
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Do you work best in a group or independently? Please explain.
Your answer
Skills, Experience and Interests (Please mark whether you have skills, experience or have an interest in learning.)
Skills
Experience
Interest
Finance/accounting
Administration/management
Fundraising and/or grant writing
Personnel/human resources
Legal
Public Relations/communications
Strategic Planning/evaluation
Special Events
Policy Development
Outreach/advocacy
Experience in Agriculture
Scientific or health background
Connections in the community/sector
Skills
Experience
Interest
Finance/accounting
Administration/management
Fundraising and/or grant writing
Personnel/human resources
Legal
Public Relations/communications
Strategic Planning/evaluation
Special Events
Policy Development
Outreach/advocacy
Experience in Agriculture
Scientific or health background
Connections in the community/sector
Clear selection
Please list any groups, organizations or businesses to which you could serve as a liaison on behalf of NCAP.
Your answer
Please tell us anything else you’d like to share.
Your answer
Please provide three references that we can contact. (Name, phone number, and email address)
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A copy of your responses will be emailed to the address you provided.
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