Quasimondo Board of Directors Application
Thank you for your interest in serving on the Quasimondo Board of Directors. We’re seeking candidates with diverse backgrounds, skill sets, and professional connections, and most of all with the dedication to grow our organization. Directors are active and responsible leaders that guide the nonprofit with professional support, fundraising, policy-making, outreach, and advocacy. Thank you for taking the time to respond to the following questions.
First Name *
Last Name *
Phone Number *
Phone Number (Alternate)
Email Address *
Email Address (Alternate)
Address (Home) *
City *
ZIP Code *
What is your age range? *
Optional, but this helps us to consider the diversity of ages represented on the Board.
How do you identify your gender? *
Optional, but this helps us to consider gender balance on the Board.
How do you identify your race/ethnicity? *
Optional, but this helps us to consider the racial and ethnic diversity of our Board. Please check all that apply.
Required
Employer *
Indicate your current or most recent employer.
Professional Title *
Dates Employed *
Significant Board, Committee, or Volunteer Experience
Please include organization name, title and role, and dates of service. Feel free to link to LinkedIn or CV. (May include business, civic, community, fraternal, political, professional, recreational, religious, and social organizations.)
Education *
Please note College, University, or Institution and Degree.
Professional Licenses, Certifications, or Designations
Please note Granting Organization and Designation.
Expertise *
Please check all that apply.
Required
Which Committee(s) would be the best fit for your skills and expertise? *
All Board Members are required to serve on at least one Committee, and no more than two Committees.
Required
Reference 1 *
Professional or personal (non-Board member) reference. Include full name, relationship, dates known, email address, and phone number.
Reference 2 *
Professional or personal (non-Board member) reference. Include full name, relationship, dates known, email address, and phone number.
Reference 3 *
Professional or personal (non-Board member) reference. Include full name, relationship, dates known, email address, and phone number.
Why do you want to become a member of the Quasimondo Board of Directors? *
How will you contribute to the success of Quasimondo? *
What unique strengths, insights, talents, and skills do you possess?
How will you be an advocate for Quasimondo? *
Please list any networks, organizations or businesses not previously mentioned that you could serve as liaison to on behalf of Quasimondo.
How did you hear about this Board position? *
Is there anything else you would like us to know?
Applicant Agreement *
I am applying for a position on the Board of Directors of Quasimondo Physical Theatre. I have read the "Board of Directors Position Overview," and understand that there are substantial requirements, including: attendance at Board meetings and functions; participation on at least one Committee; active involvement at Quasimondo events, fundraisers and programs; and a meaningful contribution of support (monetary or in-kind) to the organization. I hereby certify that all of the information contained in this application is true and correct to the best of my knowledge.
Required
Board of Directors Position Overview
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