2020-2022 PedNet Coalition Board Member Application
Name *
Your answer
Address *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Employment and Volunteer Experience *
Your answer
Qualifications
Why are you interested in serving on PedNet Coalition's Board of Directors? *
Your answer
What experience, relevant skills, or expertise do you have to help support our mission? *
Your answer
Areas of Expertise: *
Required
How much volunteer time are you able to commit to serving on the Board? *
Your answer
What other contributions would you be able to make to PedNet Coalition? *
Your answer
Please list your community service, including other Boards or Commissions on which you are currently serving or have served in the past. *
Your answer
How did you learn of PedNet Coalition? *
Your answer
What is your current relationship with PedNet Coalition? *
Your answer
Please provide three references: *
Your answer
As a Board Member, PedNet Coalition would provide you:
1. Regular financial reports.
2. Updates on the organization’s activities and information about transportation issues as they relate to our mission.
3. Opportunities for Board Members to discuss PedNet’s goals, activities and status with the CEO or Board President.
4. Liability coverage through Directors' and Officers' liability insurance.
PedNet Coalition Board Member Commitment
PedNet's Board of Directors is responsible for the legal and financial oversight of the organization, as well as ensuring that the organization does the best work possible in pursuit of its goals.
I understand that, as a member of the Board of Directors of PedNet Coalition, I would have the responsibility to ensure the organization actively pursues its goals. I would be fully committed to the mission of the organization and its bylaws. I would accept responsibility for the health, well-being, and financial oversight of PedNet. *
I have reviewed the Board Member Job Description and am committed to fulfilling the expectations of PedNet Board Members, both in my role as an individual Board Member and as part of the Board as a whole. *
As a Board Member, I would:
Work with and support staff and other Board Members toward the achievement of our vision, mission, and strategic plan. *
Attend Board Meetings and inform the CEO or Executive Committee when I have to be absent from a Board Meeting. Board Meetings are typically held 7 times per year on the last Wednesday of the month from 6:30-8pm. *
Serve on at least one committee and attend at least two PedNet special events per year. *
Take an active part in reviewing, approving, and monitoring the budget and financial statements. *
Actively engage in fundraising for PedNet, such as through identifying prospective donors, assisting with donor relationships and stewardship, direct membership or sponsorship solicitation, writing thank you notes, and assisting with special events. *
Make a financial contribution that is significant for my budget. *
Actively promote PedNet in the community. *
Willingly advocate on behalf of PedNet projects to members, public officials, and others. *
Signature *
Your answer
Date *
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This form was created inside of PedNet Coalition.