Board of Directors & Executive Board Application
Your Life Matters Empowerment Alliance
Email address *
First and Last Name *
Personal Phone Number *
Employer *
Title / Position *
Work Phone Number *
What is the best way to contact you? *
Educational Background *
If selected for nomination to Your Life Matters Empowerment Alliance Board of Directors, would you be able to attend monthly meetings held on the first Wednesday from 7:00 p.m. - 8:30 p.m. on a regular basis? (Meeting time and date to change and TBD in 2019) *
If selected for nomination to Your Life Matters Empowerment Alliance Board of Directors, would you be able to invest in Your Life Matters Empowerment Alliance by becoming a member? Annual memberships are $100 (payments can be arranged until the full annual membership is paid in full by May of 2019). *
If selected for nomination to Your Life Matters Empowerment Alliance, would you be able to attend our 2019 annual meeting (time and date TBD)? *
If selected for nomination to Your Life Matters Empowerment Alliance, would you be able to support our 2019 National Bullying Prevention Month in October, through both attendance and fundraising support? *
Please select all areas in which you are able to make a contribution to Your Life Matters Empowerment Alliance. *
Required
Why are you interested in serving as a Board of Directors member for Your Life Matters Empowerment Alliance? *
What do you know about our organization and what we do? *
What do you think are the characteristics of a great board member? Which of those qualities can you offer and bring to our Board of Directors? *
Fundraising is a significant obligation of board service. Your Life Matters Empowerment Alliance requires each Director to be a member of the organization ($100 minimum) and requests that each member give a meaningful personal gift. Please explain what your experience is and your comfort level with fundraising. *
Board members bring their experience, wisdom, strategic thinking, and connections / contacts to any organization. Please share with the nominating committee what you are comfortable bringing and offering to Your Life Matters Empowerment Alliance. *
What are your aspirations that could be enhanced by service on our Board of Directors? *
Please select all committees that you may be interested in serving on. *
Required
Members of Your Life Matters Empowerment Alliance are nominated for a three-year term. Do you feel that that term fits with your current employment and personal obligations? *
Are you willing to serve as a nonboard member committee member if you are not nominated to the Board of Directors? Committee members are selected for three-year renewable term and are eligible to move into a Board of Directors position. *
What professional and personal constraints on your time or service might you anticipate? Please include any conflicts of interest that you foresee due to other obligations in which you have. *
Are you a martial artist? *
If you are a martial artist, what is your current rank and in what martial art style is it in? How long have you been training in martial arts? *
Is there anything else you would like the board selection committee or Board of Directors to know as they consider your application? *
Please enter your full name below to give us your permission to conduct a background check on you. *
A copy of your responses will be emailed to the address you provided.
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