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Board of Directors Application Form

Let candidates apply for an open board seat by sharing their background, skills, availability, and commitment to the organization's mission.

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Name

Nombre

Apellido

Date

Address

Dirección

Ciudad

Estado / Provincia

Código postal

Phone Number

Home Phone

Birth Date*

Place of Birth

Gender Identity

Male Female Non-binary Prefer not to say

Ethnicity

Nationality

Title/Profession

Company/Organization

Work Email

Work Address

Dirección

Ciudad

Estado / Provincia

Código postal

Work Phone

Please list your current and past Board experiences

What are your current associations and/or club affiliations? (include titles if possible)

Please list your skills and expertise

What is your educational background?

Please describe in details some of your greatest strengths and weaknesses

What do you feel is essential to ensure that the Board and staff are successful in attaining the goals for this organization?

What experience, expertise, connections, or resources would you bring to the board?

Please detail your interest in joining this Board

What type of Board tasks do you prefer?

Please let us know if you have any specific project ideas you would like to propose.

Have you ever been engaged in any specific fundraising efforts? If so with whom, how, and what was the amount raised?

The board has four standing committees. Please select the ones you would be interested in joining:

Board Building & Governance Development Finance & Human Resources Program

How much time would you have to dedicate to the company (a week, a month, etc)?

Board members are expected to attend regular calls, quarterly meetings, an annual in-person meeting, and monthly committee meetings, dedicating roughly 3-5 hours per month for at least one year. Are you able to make this commitment?

Yes No

Additional Comments

Signature

Sign here

Date

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