HOW TO APPLY

Name *

First Name

Last Name

Home Phone *

If you only use a cellphone, you can input it in this field instead of in the Cellphone field below.

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Cellphone

(###)

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Which of your skills would like to utilize on the board?

Check all that apply.

Board Development

Strategic Planning

Staffing / HR

Financial Management

Training

Community Networking

Marketing

Volunteer Management

Program Development

Fundraising

Evaluation

Facilities Management

If you are selected to join the Board, you must provide at least 4-8 hours a month in attendance to Board and Committee meetings, and assure that you do not have any conflict-of-interests by becoming a participatant on the Board. By checking the box below, you are signifying that you have read, understood, and accepted these terms. *

I have read, understood, and accepted these terms.

If you are not selected to be 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

Maybe