Equality Arizona Board Application c3 Survey

1. Equality Arizona Board Application c3

Thank you for your interest in Equality Arizona. Please complete all of the questions below as a part of the application process for the board. Questions should be directed to Deborah Green, Nominations Committee Chair, at (602) 421-0504.

1. Please provide your primary contact information.

Please provide your primary contact information. Name:
Address:
Address 2:
City/Town:
State:
Zip:
Email Address:
Phone:

2. Please provide information about your employment/retired career information.

Please provide information about your employment/retired career information. Name:
Name:
Employer:
Address:
Address 2:
City/Town:
State:
Zip:
Job Title:
Phone:

3. Please describe your prior nonprofit experience (i.e. employee, volunteer, board member, etc.)

Please describe your prior nonprofit experience (i.e. employee, volunteer, board member, etc.) Organization 1:
Role(s)/Titles(s):
Dates of Service:
What did you achieve/contribute:
Why did you leave?

4. Please describe your prior nonprofit experience (i.e. employee, volunteer, board member, etc.)

Please describe your prior nonprofit experience (i.e. employee, volunteer, board member, etc.) Organization 2:
Role(s)/Titles(s):
Dates of Service:
What did you achieve/contribute:
Why did you leave?

5. Please tell us about your formal education.

Please tell us about your formal education. Degree(s)
Program/emphasis
Date earned
School
Other training

6. Please describe your current and/or past involvement with Equality Arizona, if any.

Please describe your current and/or past involvement with Equality Arizona, if any.

7. How do you feel Equality Arizona would benefit from your involvement as a Board member?

How do you feel Equality Arizona would benefit from your involvement as a Board member?

8. Please briefly explain why you are interested in serving on Equality Arizona's Board of Directors.

Please briefly explain why you are interested in serving on Equality Arizona's Board of Directors.

9. Please help us understand the skills, experience and interests you would bring to your Board member service.

	Strong Skill Set	Some Experience	I Would Like to Learn	No Experience	Please Don't Ask Me to Do This
Donor Development (asking people for money)	*Please help us understand the skills, experience and interests you would bring to your Board member service. Donor Development (asking people for money) Strong Skill Set	Donor Development (asking people for money) Some Experience	Donor Development (asking people for money) I Would Like to Learn	Donor Development (asking people for money) No Experience	Donor Development (asking people for money) Please Don't Ask Me to Do This
Public Relations	Public Relations Strong Skill Set	Public Relations Some Experience	Public Relations I Would Like to Learn	Public Relations No Experience	Public Relations Please Don't Ask Me to Do This
Financial Management	Financial Management Strong Skill Set	Financial Management Some Experience	Financial Management I Would Like to Learn	Financial Management No Experience	Financial Management Please Don't Ask Me to Do This
Personnel/Human Resources	Personnel/Human Resources Strong Skill Set	Personnel/Human Resources Some Experience	Personnel/Human Resources I Would Like to Learn	Personnel/Human Resources No Experience	Personnel/Human Resources Please Don't Ask Me to Do This
Legal	Legal Strong Skill Set	Legal Some Experience	Legal I Would Like to Learn	Legal No Experience	Legal Please Don't Ask Me to Do This
Special Events	Special Events Strong Skill Set	Special Events Some Experience	Special Events I Would Like to Learn	Special Events No Experience	Special Events Please Don't Ask Me to Do This
Program Development	Program Development Strong Skill Set	Program Development Some Experience	Program Development I Would Like to Learn	Program Development No Experience	Program Development Please Don't Ask Me to Do This
Technology	Technology Strong Skill Set	Technology Some Experience	Technology I Would Like to Learn	Technology No Experience	Technology Please Don't Ask Me to Do This
Public Speaking	Public Speaking Strong Skill Set	Public Speaking Some Experience	Public Speaking I Would Like to Learn	Public Speaking No Experience	Public Speaking Please Don't Ask Me to Do This
Marketing/Sales	Marketing/Sales Strong Skill Set	Marketing/Sales Some Experience	Marketing/Sales I Would Like to Learn	Marketing/Sales No Experience	Marketing/Sales Please Don't Ask Me to Do This
Organizing/Event Logistics	Organizing/Event Logistics Strong Skill Set	Organizing/Event Logistics Some Experience	Organizing/Event Logistics I Would Like to Learn	Organizing/Event Logistics No Experience	Organizing/Event Logistics Please Don't Ask Me to Do This
Media	Media Strong Skill Set	Media Some Experience	Media I Would Like to Learn	Media No Experience	Media Please Don't Ask Me to Do This
Entertainment Industry	Entertainment Industry Strong Skill Set	Entertainment Industry Some Experience	Entertainment Industry I Would Like to Learn	Entertainment Industry No Experience	Entertainment Industry Please Don't Ask Me to Do This
Nonprofit Management	Nonprofit Management Strong Skill Set	Nonprofit Management Some Experience	Nonprofit Management I Would Like to Learn	Nonprofit Management No Experience	Nonprofit Management Please Don't Ask Me to Do This
Policy Development	Policy Development Strong Skill Set	Policy Development Some Experience	Policy Development I Would Like to Learn	Policy Development No Experience	Policy Development Please Don't Ask Me to Do This
Education	Education Strong Skill Set	Education Some Experience	Education I Would Like to Learn	Education No Experience	Education Please Don't Ask Me to Do This
Investments	Investments Strong Skill Set	Investments Some Experience	Investments I Would Like to Learn	Investments No Experience	Investments Please Don't Ask Me to Do This
Outreach/Advocacy	Outreach/Advocacy Strong Skill Set	Outreach/Advocacy Some Experience	Outreach/Advocacy I Would Like to Learn	Outreach/Advocacy No Experience	Outreach/Advocacy Please Don't Ask Me to Do This

Other (please specify)

10. Please list any groups, organizations or businesses that you could serve as a liaison to on behalf of Equality Arizona.

Please list any groups, organizations or businesses that you could serve as a liaison to on behalf of Equality Arizona. Name
Type of Activity
How long have you been involved?

11. Please list any groups, organizations or businesses that you could serve as a liaison to on behalf of Equality Arizona.

Please list any groups, organizations or businesses that you could serve as a liaison to on behalf of Equality Arizona. Name
Type of Activity
How long have you been involved?

12. Please list any groups, organizations or businesses that you could serve as a liaison to on behalf of Equality Arizona.

Please list any groups, organizations or businesses that you could serve as a liaison to on behalf of Equality Arizona. Name
Type of Activity
How long have you been involved?

13. Thank you for completing Equality Arizona's Board of Directors application. We look forward to talking with you further about your interests.

Thank you for completing Equality Arizona's Board of Directors application. We look forward to talking with you further about your interests. By checking this box you agree to allow Equality Arizona to share this application within the Board in it's Nominating Committee process.

I understand that information in this application if accepted as a Board member may be used to help further the mission and funding of Equality Arizona. For example, my employer and other organization's I am involved with may be disclosed publicly.