Board of Directors & Advisory Board Questionnaire and Applicant Form

Personal Information

First Name

Last Name

Date

Email *

Address

City

State

Postal code

Phone Number *

Home Phone

Date of birth

Gender Identity

Male

Female

Other

Ethnicity

Nationality

Business/Work Information

Title/Profession

Company or Organization

Work Email

Work Phone

Please list your current and past Board experiences

What are your current associations and/or club affiliations? (include titles if possible)

Please list your skills and expertise

What is your educational background?

Please describe in details some of your greatest strengths and weaknesses

What do you feel is essential to ensure that the Board and staff are successful in attaining the goals for this organization?

What experiences, expertise, connections, or resources would you bring to LOJ Ministries DFW?

What position are you interested in?

Education Advisor

Child Development Specialist

Community Engagement Expert

Finance Specialist

Marketing and Outreach Strategist

Diversity and Inclusion Advocate

Legal and Compliance Counsel

Health and Safety Officer

President

Vice President

Secretary

Please detail your interest in joining this Board

Please let us know if you have any specific project ideas you would like to propose.

Have you ever been engaged in any specific fundraising efforts? If so with whom, how, and what was the amount raised?

How much time would you have to dedicate to the position monthly?

What is your availability for meetings

Saturday Mornings
Tuesday Evenings
Wednesday Evenings
Open
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Thank you for your interest. please email [email protected] or [email protected] with any questions you may have.

I certify, by my signature, that the information contained within this application and all supporting documents (i.e., resume, recommendation letters, etc.) is true, accurate, and complete to the best of my knowledge. An electronic signature is accepted.

Signature *

Clear

Date *

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.