Board Member Information Form

Capture contact details, background, and demographic information from prospective or current nonprofit board members in one organized record.

Use this template

Date Completed

Name

Nombre

Apellido

Formal Title (e.g., Dr/Mr/Miss/Mrs/Mx)

Pronouns

Preferred Email for Board Correspondence

Personal Mailing Address

Dirección

Ciudad

Estado / Provincia

Código postal

Phone Number

Alternate Phone Number

Date of Birth

Gender Identity

Ethnicity

Race

Sexual Orientation

HIV Status

Title/Profession

Company/Organization

Email (if different)

Business Address

Dirección

Ciudad

Estado / Provincia

Código postal

Work Phone

Extension

Administrative Assistant Contact Information (if applicable)

Professional Links: Share your LinkedIn or any other resources that highlight your work

Headshot (Upload Here)

Max 10 MB per file

Upload Bio (or insert LinkedIn link to your bio above)

Max 10 MB per file

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