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Section 1 of 6
Impact 100 Board Application of Interest
Thank you for your interest in the board of Impact 100. Please share some information about yourself! 
Section 2 of 6
Section 1- About You
Please provide the following information about yourself
Full name

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Email address

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Phone Number (preferred phone)

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Section 3 of 6
Skills & Experience
Please review the skills or experiences below and check all that apply 
Which professional skills or experiences would you bring to the board?
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Event planning
Finance/accounting
Fundraising/philanthropy
Legal/governance
Marketing/communications/PR
Nonprofit management or nonprofit board experience
HR/organizational development
Community engagement
Strategic planning
Technology/data
Other: _________
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Please describe 1–2 examples of leadership, volunteer service, or professional experiences that demonstrate how you could contribute to our board.
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Examples of leadership, volunteer service, or professional experiences:
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Section 4 of 6
Section 3: Mission Alignment
What excites you about our mission? 
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Section 5 of 6
Section 4: Board Commitment Section
Impact 100's board meets every other month  with a mix of in person and virtual meetings.  In addition to board meetings there are typically committee meetings between board meetings, as well as an expectation to attend the 4 major events throughout the year.  Impact 100 membership is required to be on the board.  Board terms are 3 years and two terms may be served. 
Do you feel able to commit to the time and financial expectations outlined? (
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Yes
No
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Section 6 of 6
Section 6: References
Please share up to 2 references (name, relationship, contact info)
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Section 1- About You
Full name

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Email address

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Phone Number (preferred phone)

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Skills & Experience
Which professional skills or experiences would you bring to the board?
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Please describe 1–2 examples of leadership, volunteer service, or professional experiences that demonstrate how you could contribute to our board.
Examples of leadership, volunteer service, or professional experiences:
No responses yet for this question.
Section 3: Mission Alignment
What excites you about our mission? 
No responses yet for this question.
Section 4: Board Commitment Section
Do you feel able to commit to the time and financial expectations outlined? (
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Section 6: References
Please share up to 2 references (name, relationship, contact info)
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