Become a Board Member

Your Name

Your Email

Phone Number

Address

City

State

Zip

Briefly describe why you would like to join our Board of Directors.

Your current organizational affiliations (names of the organization and your role(s)).

Which of your skills would you like to utilize on the Board? Check those that apply:
Board DevelopmentStrategic PlanningStaffing/HRProgram DevelopmentFinancial ManagementFundraisingEvaluationCommunity NetworkingMarketingVolunteer ManagementFacilities ManagementWebsite Management

Other skills you would like to utilize:

What would you like to get for yourself out of your participation on the Board, e.g., what types of experiences, skills to develop, interests to cultivate for you, etc.?

If you join the Board, you agree that you can provide at least 2-4 hours a month in attendance to Board and Committee meetings, and that you do not have any conflict-of-interest in participating on the Board.
YesNo

If you are not selected as a member of the Board, or if you decide not to join, would you like to be a volunteer to assist our organization in various ways that match your skills and interests?
YesNoMaybe