ESC Management Profile Form

The Executive Service Corps is a program of the Bayer Center for Nonprofit Management at Robert Morris University that mobilizes volunteers to consult and train for nonprofit organizations. The Bayer Center's mission is to provide effective and practical management and governance tools, information, education and research that strengthen nonprofit missions and multiply all investments of time, talent and money in regional nonprofit organizations. ESC assist in fulfilling this mission by expanding the reach of the Bayer Center--into smaller nonprofits, as well as new areas of expertise.

Thanks for filling out this form to better help us determine your skills, interests, and background. Please call Yvonne Van Haitsma, ESC Program Director at 412-397-6002 or at vanhaitsma@rmu.edu with questions or issues.

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* 1. Contact Information

Prefix

First Name

Last Name

Organization/Company

Title

Address

Address Line 2

City

State

Zip

email address

secondary e-mail

Cell phone

Home phone

work phone

Which phone is preferred?

Do you text?

LinkedIn account Link:

Date of Birth:

Home Address (if Different than above)

City

Zip

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* 2. Current Employment Status

Employed

Retired

Between Positions

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* 3. Brief Employment History

Company/Organization:

Title:

Dates Employed: From / To

Function/Major Responsibilities:

Company/Organization:

Title:

Dates Employed: From / To

Function/Major Responsibilities:

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* 4. Business/Trade/Professional Affiliations

Name of Organization

Type of Organization

Position/Activity

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* 5. Non-Profit Experience: Please indicate below any previous experiences you have had with nonprofit organizations.

Name of Nonprofit

Please indicate your role: (staff, volunteer, board)

Functions / responsibilities

Dates involved

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* 6. More Non-Profit Experience: Please indicate below any previous experiences you have had with nonprofit organizations.

Name of Nonprofit

Please indicate your role: (staff, volunteer, board)

Functions/ Responsibilities:

Dates involved

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* 7. Higher Education:

Institution:

Degree:

Year:

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* 8. Additional Higher Education

Institution:

Degree:

Year:

Other:

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* 9. What services would you like to offer nonprofits through the Executive Service Corps at the Bayer Center?

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* 10. Please take 3-5 sentences to describe why you are interested in working with nonprofits.

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* 11. Are you available now for assignment to ESC projects?

Yes

If no, when?

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* 12. What is your daytime availability?

No daytime flexibility (or only lunch break)

As long as I know at least one week in advance

relatively flexible

Other (please specify)

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* 1. Contact Information

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* 2. Current Employment Status

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* 3. Brief Employment History

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* 4. Business/Trade/Professional Affiliations

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* 5. Non-Profit Experience: Please indicate below any previous experiences you have had with nonprofit organizations.

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* 6. More Non-Profit Experience: Please indicate below any previous experiences you have had with nonprofit organizations.

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* 7. Higher Education:

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* 8. Additional Higher Education

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* 9. What services would you like to offer nonprofits through the Executive Service Corps at the Bayer Center?

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* 10. Please take 3-­5 sentences to describe why you are interested in working with nonprofits.

Question Title

* 11. Are you available now for assignment to ESC projects?

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* 12. What is your daytime availability?

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* 13. How did you learn about the Executive Service Corps?

* 10. Please take 3-5 sentences to describe why you are interested in working with nonprofits.