Nonprofit Board Member Application

Nonprofit Board Member Application
Apply to join our board of directors and help shape our nonprofit’s future.
Full Name*
First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Address*
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Current Occupation and Employer*
Briefly describe your previous nonprofit or board experience.*
Fundraising & DevelopmentFinance & AccountingLegalMarketing & CommunicationsStrategic PlanningHuman ResourcesProgram DevelopmentTechnologyOther
Why are you interested in serving on our board? Please describe your motivation and what you hope to contribute.*
Are you currently serving on any other boards? If yes, please list the organizations.
Please provide the names and contact information for two professional or volunteer references.*
Do you have any potential conflicts of interest to disclose? (e.g., relationships with staff, vendors, or other organizations)*
How many hours per month can you commit to board service?*
Signature (please sign to affirm your application)*
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