Project Blueprint Application 2024 Question Title * 1. Personal Contact Information Name Address Address 2 City/Town State/Province ZIP/Postal Code Email Address Phone Number Question Title * 2. Profile Age Gender Ethnicity/Race Question Title * 3. How did you hear about Project Blueprint? Question Title * 4. Education Background High School Graduate or GED Some College Bachelors Degree Masters or Advanced Degree Professional Certification Question Title * 5. Employment Employer Number of Years Job Title Question Title * 6. Income range Under $20,000 per year Between $20,000-$30,000 Between $30,000-$40,000 Between $40,000-$50,000 Between $50,000-$60,000 Between $60,000-$70,000 Above $70,000 per year I prefer not to answer Question Title * 7. Skills and Experience No Experience Moderate Experience Considerable Experience Finance/Accounting Finance/Accounting No Experience Finance/Accounting Moderate Experience Finance/Accounting Considerable Experience Risk Management & Compliance Risk Management & Compliance No Experience Risk Management & Compliance Moderate Experience Risk Management & Compliance Considerable Experience Public Relations Public Relations No Experience Public Relations Moderate Experience Public Relations Considerable Experience Fund Development Fund Development No Experience Fund Development Moderate Experience Fund Development Considerable Experience IT/Technology IT/Technology No Experience IT/Technology Moderate Experience IT/Technology Considerable Experience Strategic Planning Strategic Planning No Experience Strategic Planning Moderate Experience Strategic Planning Considerable Experience Management Management No Experience Management Moderate Experience Management Considerable Experience Question Title * 8. Do you have any experience serving on a Nonprofit Board of Directors? Yes No Question Title * 9. Describe your volunteer service. Question Title * 10. What motivates you to volunteer? Question Title * 11. Statement of Commitment Yes No I am committed to attend each session I am committed to attend each session Yes I am committed to attend each session No I intend to serve in a leadership role in my community I intend to serve in a leadership role in my community Yes I intend to serve in a leadership role in my community No Question Title * 12. A meal will be provided at each session. Please let us know if you have any dietary restrictions. Question Title * 13. United Way of Northern Utah is committed to ensuring the cost of attending is not a barrier to participation in Project Blueprint. We understand the importance of board leadership training and its impact on our community.In an effort to make Project Blueprint inclusive and accessible for everyone, we will be utilizing grant funding to cover the cost for 2024 fall cohort participants. We want to break barriers through partnerships, giving you the opportunity to strengthen our community through leadership at no cost.If you or your organization has the ability to pay and would like to contribute to the stainability of Project Blueprint and the success of the program, please comment below. The cost of the program is $500 per participant. Thank you for your commitment to advancing leadership and serving our community. Done
