Board Member Application
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Email *
What's your name? *
Phone Number *
Birthday *
MM
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DD
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YYYY
Address *
Are you currently employed? *
Current Employer *
Title/Position *
How long have you been at your current place of employment? *
Address of Employer *
Select the skills that strongly apply to you: *
Required
Provide 3 professional references with Name, Phone Number, and E-mail *
List all boards and committees that you serve on, or have served on *
Why are you interested in serving on the BTSADV Board? What do hope to gain from the experience? *
How do you feel BTSADV would benefit from your involvement on the Board? *
Is there anything else that you think would be of interest or that you would like to share? *
How much time will you be able to commit to board activities per month? *
Describe your professional leadership strength or areas of expertise that will enhance your value as a volunteer leader. *
How do you think you can help BTSADV in fulfilling its mission? *
What is your fundraising experience? *
Have you been personally affected by domestic violence? *
How have you addressed your trauma? *
Select the option that applies to you: *
What agency are you with? *
How long have you been a volunteer with BTSADV? *
In what capacity have you volunteered with BTSADV? *
Do you have any training or certificates in the field of domestic violence? *
List the training or certifications you have in the field of domestic violence. *
Do you plan on starting your own non-profit in the next 3 years? *
What type of nonprofit will it be? *
How did you hear about us? *
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This form was created inside of Break The Silence Against Domestic Violence Inc.. Report Abuse
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