Ex Fabula Board of Directors Application
Thank you for your interest in the Ex Fabula Board of Directors. We aim to include highly qualified individuals with diverse backgrounds and experiences on our board, so we appreciate you taking the time to provide responses to the following questions.
First Name *
MI
Last Name *
Address (Home) *
City *
ZIP code *
Employer *
Your title *
Preferred Phone number *
Additional phone numbers
Preferred email *
Additional email addresses
What is your age range?
Optional, but this information helps us to consider the diversity of ages represented on the board.
Clear selection
How do you identify your gender?
Optional, but this helps us to consider gender balance on the board.
Clear selection
How do you identify your race/ethnicity?
Please check all that apply. Optional, but this helps us to consider the racial and ethnic diversity of our board.
Please list boards and committees that you serve on or have served on (business, civic, community, fraternal, political, professional, recreational, religious, social). *
Please note Organization, Role/Title and Dates of Service; feel free to copy paste from CV/LinkedIn/etc
Education, Training and Certificates *
(Optional) Awards, Honors or Specialties
(Optional) Ex Fabula involvement not previously mentioned
attending events, telling stories, etc
Which committees/roles interest you? *
Required
Skills/experience *
check all that apply
Required
If we are not able to seat you as a Board Director for the next term, would you be interested in serving on a committee?
Clear selection
Please list any groups, organizations or businesses not previously mentioned that you could serve as a liaison to on behalf of Ex Fabula
feel free to skip if you listed them previously
Ex Fabula is committed to strengthening community bonds through the art of storytelling. Please tell us why is our mission important to you.
Anything else we should know?
(for example, your story, if you are a member of an underrepresented group, etc)
How did you first hear about Ex Fabula?
How did you hear about this Board position?
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