For the Kids In all of Us (Children’s Poverty Alliance) Board of Directors Application Form

Thank you for your interest in joining a corporate (non-profit) Board! Use this form to provide useful information about yourself, to ensure the best match between you and the company that might want to consider you for its Board of Directors. The following information will be shared

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Name*

Phone Number (Work)

Phone Number (Cell)

Address

Email Address (please write it carefully):*

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

Your current company & organizational affiliations (names of the companies, organizations and your role(s):*

Which of your skills would you like to utilize on the Board? Check those that apply:

Board development

Strategic planning

Staffing / HR

Program development

Financial management

Fundraising

Evaluation

Community networking

Training

Marketing

Volunteer management

Facilities management

Other skill(s) of yours that 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.?*

Is there anything else you would like to share with us that we might have missed?*

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.*

Signature*

Date*

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?

Yes

No

Perharps

 

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