Board Member Application

First Name

Last Name

Full Address

Email Address

Who is your current employer? (if applicable)

What is your current position?

What type of business or organization?

How many years have you been at this company or organization?

What is your primary service(s) and area or population served?

Please list (organization, role / title, and dates of service) any boards and committees that you serve on, or have served on (business, civic, community, fraternal, political, professional, recreational, religious, and or social).

Please list your educational background / training / certificates.

Optional - Please list any awards, honors, achievements, or any other recognition you have received.

Please list your activities, hobbies, and interests.

What are your skills, experience, and interests? Please check all that apply. What are your skills, experience, and interests? Please check all that apply. Finance (accounting) Personnel (human resources) Administration (management) Nonprofit Experience Community Service Policy Development Program Evaluation Public Relations (communications) Education (instruction) Special Events Grant Writing Fundraising Outreach (advocacy) Other

Please list other.

If you are selected, how do you feel you could contribute to the success of ShesCHERIshed?

Are you willing to give time, energy, and resources to support the mission of ShesCHERIshed? Are you willing to give time, energy, and resources to support the mission of ShesCHERIshed? Yes No

Members stay connected to ShesCHERIshed through meeting attendance, committee work, events, e-mail, our FB group, etc. Do you have the time and resources to be an active Member of the ShesCHERIshed Board? Members stay connected to ShesCHERIshed through meeting attendance, committee work, events, e-mail, our FB group, etc. Do you have the time and resources to be an active Member of the ShesCHERIshed Board? Yes No

Are you comfortable soliciting others for funding? Are you comfortable soliciting others for funding? Yes No

Please describe any experience(s) in doing so.

What does leadership mean to you?

What do you believe are the two most significant issues or problems facing relationships?

What makes our mission meaningful to you?

What connections and resources do you have to offer and are willing to use on the behalf of the organization?

Which of your skills would you like to utilize on the Board? Please check all that apply. Which of your skills would you like to utilize on the Board? Please check all that apply. Board Development Strategic Planning Staffing / HR Program Development Financial Management Fundraising Evaluation Community Networking Training Marketing Volunteer Management Facilities Management

What were your expectations from the management of the nonprofits where you’ve served as a board member?

Can you commit to raising $2,000 per year in donations and $1,000 in sponsorship? Can you commit to raising $2,000 per year in donations and $1,000 in sponsorship? Yes No

Have you ever experienced domestic violence? Have you ever experienced domestic violence? Yes No

Are you aware of your spiritual gifts? Are you aware of your spiritual gifts? Yes No

What are your top 3 spiritual gifts?

Reference 1 Name

Reference 1 Relationship

Reference 1 Phone

Reference 1 Email

Reference 2 Name

Reference 2 Relationship

Reference 2 Phone

Reference 2 Email

Reference 3 Name

Reference 3 Relationship

Reference 3 Phone

Reference 3 Email